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MR. BRIAN GRAHAM DATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
1750 S TELEGRAPH RD, SUITE 101, BLOOMFIELD HILLS, MI 48302-0166
(248) 451-9085
Mailing address
16257 BIRWOOD AVE, BEVERLY HILLS, MI 48025-3343
(248) 645-5028

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002841
MI

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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