Individual
CASSIE MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
174212
KY
103TC0700X
Clinical Psychologist
138733
KY
Other
Enumeration date
07/20/2009
Last updated
01/24/2024
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