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Individual

EMILY GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
2875 WORTH DR, WILMINGTON, NC 28412-6248
(910) 523-5534
Mailing address
94 GRANT DR, HAMPSTEAD, NC 28443-8433
(773) 719-0574

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
A10840
NC

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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