Organization
MARILYN GRAHAM LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN GRAHAM PH.D., LMFT (LICENSED MARRIAGE FAMILY THERAPIST)
(408) 458-0617
Entity
Organization
Contact information
Practice address
6489 CAMDEN AVE, STE. 103, SAN JOSE, CA 95120-2849
(408) 458-0617
Mailing address
PO BOX 41171, SAN JOSE, CA 95160-1171
(408) 458-0617
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MFC52619
CA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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