Individual
AMANDA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 508-7886
Mailing address
365 MOSELEY RD, WILLISTON, SC 29853-5445
(803) 989-0532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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