Individual
CAROL GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12450 NE 91ST CT, ARCHER, FL 32618-6119
(954) 851-4941
Mailing address
12450 NE 91ST COURT, ARCHER, FL 32618
(954) 851-4941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
08/04/2015
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