Individual
MR. MAURICE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
828 BUFORD RD, RICHMOND, VA 23235-4637
(804) 327-0707
(804) 327-0708
Mailing address
828 BUFORD RD, RICHMOND, VA 23235-4637
(804) 327-0707
(804) 327-0708
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT0717000003
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319477
ANTHEM
VA
Enumeration date
11/13/2006
Last updated
07/08/2007
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