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Individual

PATRICK GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-4432
(360) 452-4599
Mailing address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-4432
(360) 452-4599

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60132816
WA

Other

Enumeration date
01/07/2015
Last updated
01/07/2015
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