Individual
MS. SAMANTHA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3320 RIVEROAD CT APT 814, FORT WORTH, TX 76116-1174
(281) 309-2410
Mailing address
3320 RIVEROAD CT APT 814, FORT WORTH, TX 76116-1174
(281) 309-2410
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
13621
TX
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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