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1215189162
LACRESHA JOY GRAHAM
JAMESTOWN, ND
NPI
1215189162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1588)
Enumeration Date
2008-10-22
Last Update Date
2008-10-22
Business Address
-- LACRESHA JOY GRAHAM LAC
520 3RD ST NW
JAMESTOWN, ND 58401-2968
Phone number: 701-253-6368
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Mailing Address
-- LACRESHA JOY GRAHAM LAC
520 3RD ST NW PO BOX 2055
JAMESTOWN, ND 58402-2055
Phone number: 701-253-6368
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