Individual
PRESTON GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1729 S 5TH AVE, POCATELLO, ID 83201-6806
(208) 251-9619
Mailing address
1729 S 5TH AVE, POCATELLO, ID 83201-6806
(208) 251-9619
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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