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1427155175
ELLEN ANNE GRAHAM
UPLAND, CA
NPI
1427155175
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Other Name
ELLEN ANNE GRAHAM-POTTORFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA LCS13618)
Enumeration Date
2006-09-17
Last Update Date
2021-10-05
Business Address
Ms. ELLEN ANNE GRAHAM LCSW
1346 N MULBERRY AVE
UPLAND, CA 91786-2739
Phone number: 909-996-6217
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Mailing Address
Ms. ELLEN ANNE GRAHAM LCSW
1346 N MULBERRY AVE
UPLAND, CA 91786-2739
Phone number: 909-996-6217
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