Individual
MRS. MARLENE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8840 NE SKIDMORE STREET, PORTLAND, OR 97220
(503) 261-2425
Mailing address
PO BOX 20008, THE GROTTO COUNSELING CENTER, PORTLAND, OR 97294
(503) 261-2425
(503) 254-7948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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