Individual
CARRIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
1505 HERITAGE LN, SUITE B, FLORENCE, SC 29505-3141
(843) 667-1905
(843) 667-1723
Mailing address
1057 PATRICK DR, FLORENCE, SC 29501-8459
(843) 713-9854
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1797
—
SC
Enumeration date
02/20/2015
Last updated
11/13/2022
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