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1033566674
SHAWN GRAHAM
WATERFORD, MI
NPI
1033566674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 6401007096)
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
-- SHAWN GRAHAM LPC
1255 N OAKLAND BLVD
WATERFORD, MI 48327-1545
Phone number: 248-406-0090
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Mailing Address
-- SHAWN GRAHAM LPC
820 EDENBOUGH CIR APT 103
AUBURN HILLS, MI 48326-4547
Phone number: 248-464-2500
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