Individual
CASSIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 PHOENIX AVE, FORT SMITH, AR 72903-5092
(501) 354-1170
Mailing address
411 LENTZ RD, MORRILTON, AR 72110-3740
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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