Individual
KECIA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-5124
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-5124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M6091
MS
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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