Individual
CYNTHIA RENEE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(860) 985-7186
Mailing address
367 PINE ST, SPRINGFIELD, MA 01105-1930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8492
CT
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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