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1144522871
KENISHA GRAHAM
BARTOW, FL
NPI
1144522871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-01
Last Update Date
2010-12-01
Business Address
-- KENISHA GRAHAM
1255 GOLFVIEW AVE
BARTOW, FL 33830-6736
Phone number: 863-519-0575
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Mailing Address
-- KENISHA GRAHAM
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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