Individual
BRENDA WILSON-GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAMFT
Contact information
Practice address
3700 W KILGORE AVE, MUNCIE, IN 47304-4810
(765) 289-5437
Mailing address
5109 W WESTKNOLL CT, MUNCIE, IN 47304-5039
(765) 228-8970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0000000A
IN
Other
Enumeration date
07/14/2016
Last updated
07/19/2016
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