Individual
MRS. JENNIFER D GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4200 NW 16TH ST, #307, LAUDERHILL, FL 33313-5899
(954) 497-1420
(954) 497-3622
Mailing address
15706 E WATERSIDE CIR, #206, SUNRISE, FL 33326-2279
(954) 701-4033
(954) 497-3622
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2345
FL
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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