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Individual

LE'DAISHA LENN GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
141 CHESTERFIELD ST, AIKEN, SC 29801-4501
(803) 502-1718
Mailing address
401 GREENGATE CIR APT O, AIKEN, SC 29803-7447
(803) 634-0176

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/14/2023
Last updated
06/14/2023
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