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Individual

JARRETT GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MHS

Contact information

Practice address
175 E BROWN ST STE 202, EAST STROUDSBURG, PA 18301-3098
(570) 234-3989
Mailing address
1113 N 26TH ST, ALLENTOWN, PA 18104-2901
(570) 561-4105

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
Primary
BH001545
PA

Other

Enumeration date
08/15/2013
Last updated
09/09/2021
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