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Individual

MS. LEE COVINGTON GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.P.A.

Contact information

Practice address
615 SHIPYARD BLVD, C/O COASTAL HORIZONS CENTER, INC., WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, C/O COASTAL HORIZONS CENTER, INC., WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
3470
NC

Other

Enumeration date
12/28/2007
Last updated
12/28/2007
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