Individual
MRS. ROCHELLE R GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
1 LATIMER WAY, BURLINGTON, NJ 08016-0801
(314) 605-0829
Mailing address
1 LATIMER WAY, BURLINGTON, NJ 08016-2930
(314) 605-0829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00365700
NJ
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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