Individual
KYLA ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7021 KEWANNE AVE, BUILDING 3, SUITE 102, LUBBOCK, TX 79424
(806) 535-1056
Mailing address
7021 KEWANNE AVE, BUILDING 3, SUITE 102, LUBBOCK, TX 79424
(806) 474-4893
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
81332
TX
Other
Enumeration date
10/06/2021
Last updated
05/21/2024
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