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1790050284
SANDRA DECOURSEY GRAHAM
PHOENIX, AZ
NPI
1790050284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-13806)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
Ms. SANDRA DECOURSEY GRAHAM MS, LPC
4545 N 36TH ST STE 102
PHOENIX, AZ 85018-3473
Phone number: 928-232-9195
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Mailing Address
Ms. SANDRA DECOURSEY GRAHAM MS, LPC
PO BOX 20045
WICKENBURG, AZ 85358-5045
Phone number: 928-232-9195
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