Individual
DR. VIRGINIA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATR-BC
Contact information
Practice address
430 BRADDOCK AVE, DAYTONA BEACH, FL 32118-4616
(386) 258-1618
(386) 253-4215
Mailing address
411 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-5449
(386) 672-8492
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
221700000X
FL
221700000X
Art Therapist
Primary
VG14981
FL
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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