| Leslie J. Graham, Msw, Lisw-cp, Llc | |
|
222 W Coleman Blvd Mt Pleasant SC 29464-3494 | |
| (843) 971-4001 | |
| (843) 416-8354 |
| Full Name | Leslie J. Graham, Msw, Lisw-cp, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 222 W Coleman Blvd, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Leslie J Graham (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8439714001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie J. Graham, Msw, Lisw-cp, Llc 222 W Coleman Blvd Mt Pleasant SC 29464-3494 Ph: (843) 971-4001 | Leslie J. Graham, Msw, Lisw-cp, Llc 222 W Coleman Blvd Mt Pleasant SC 29464-3494 Ph: (843) 971-4001 |
| NPI Number | 1629262514 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629262514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LISW-CP 8517 (South Carolina) | Primary |
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