Individual
MRS. GEORGINA LYNN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 JEFFERS STREET, DUBOIS, PA 15801
(814) 371-1100
(814) 371-3671
Mailing address
793 OLD ROUTE 119 HWY NORTH, INDIANA, PA 15701
(724) 465-5576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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