Individual
MS. PAMELA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1178 S SCOVILLE AVE, OAK PARK, IL 60304-2140
(177) 334-4221
Mailing address
1178 S SCOVILLE AVE, OAK PARK, IL 60304-2140
(177) 334-4221
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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