Individual
MRS. SAMANTHA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPC LAC
Contact information
Practice address
2060 W WHISPERING WIND DR, SUITE 274, PHOENIX, AZ 85085-2867
(623) 879-7599
Mailing address
2060 W WHISPERING WIND DR, SUITE 274, PHOENIX, AZ 85085-2867
(623) 879-7599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-14476
AZ
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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