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1033423124
MARY GRAHAM
GRASS VALLEY, CA
NPI
1033423124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA RA6119)
Enumeration Date
2010-07-30
Last Update Date
2010-07-30
Business Address
MARY GRAHAM RS
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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Mailing Address
MARY GRAHAM RS
440 HENDERSON ST STE C
GRASS VALLEY, CA 95945-7374
Phone number: 530-273-9541
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