Individual
LESLIE F. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
23213 PACIFIC HWY S, KENT, WA 98032-2721
(206) 520-5000
Mailing address
PO BOX 359750, SEATTLE, WA 98195-9750
(206) 520-5000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00015675
WA
1041C0700X
Clinical Social Worker
Primary
LW00007570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8902748
L&I CRIME VICTIMS
WA
Enumeration date
09/13/2006
Last updated
08/01/2023
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