Individual
ARIELLE CANDICE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-2193
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
281534
MA
2084P0804X
Child & Adolescent Psychiatry Physician
281534
MA
Other
Enumeration date
03/27/2017
Last updated
07/08/2022
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