Individual
MICHELLE LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 WASHINGTON ST, WATERTOWN, NY 13601-3323
(315) 782-3100
Mailing address
119 WASHINGTON ST, WATERTOWN, NY 13601-3323
(315) 782-3100
(315) 782-0802
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NY
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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