Individual
SAMANTHA GRAAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 596-5921
(909) 596-3954
Mailing address
1350 3RD ST, LA VERNE, CA 91750-5201
(909) 536-5921
(909) 596-3954
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT38265
CA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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