Individual
MARY READING GRAYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
313 S MCDONOUGH ST, MONTGOMERY, AL 36104
(334) 523-6650
Mailing address
313 S MCDONOUGH ST, MONTGOMERY, AL 36104
(334) 523-6650
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L457
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568986925
2-ORG
—
Enumeration date
11/27/2018
Last updated
11/27/2018
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