STACI JANAE GRAHAM

WEST COVINA, CA
NPI1851626881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
Additional Taxonomies103T00000X Psychologist
(Licence: CA  PSY30771)
Enumeration Date2009-10-08
Last Update Date2024-09-15
Business Address
STACI JANAE GRAHAM
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790-2946
Phone number: 626-974-0770
Mailing Address
STACI JANAE GRAHAM
3804 HATHAWAY AVE APT 618
LONG BEACH, CA 90815-5118
Phone number: