DWAYNE A GRAHAM

NEW YORK, NY
NPI1528569092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-02-21
Last Update Date2018-02-21
Business Address
DWAYNE A GRAHAM
73 LENOX AVE
NEW YORK, NY 10026-3007
Phone number: 212-663-1975
Mailing Address
DWAYNE A GRAHAM
81 DUELK AVE
MONROE, NY 10950-2021
Phone number: 347-233-9694
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