Portia Maria Graves M.A.

NPI 1255455523 - Counselor - 101Y00000X

NPI Details
NPI 1255455523
Gender Female
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
112 N BROAD ST
PHILADELPHIA PA, 19102-1510, US
Phone (215) 568-0860
Fax (215) 568-0769
Business Location
PO BOX 20648
PHILADELPHIA PA, 19138-0648, US
Phone (215) 844-2835
Fax (856) 232-0500
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Portia Maria Graves M.A. NPI is 1255455523, taxonomy code is 101Y00000X Portia Maria Graves M.A. physically located at 112 N Broad St, Philadelphia PA, 19102-1510. NPI Number Portia Maria Graves M.A. has the Individual type.

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1255455523 NPI number is provided on an as is basis without warranty of any kind. 1255455523 is maintained by the National Plan & Provider Enumeration System. The contents of Portia Maria Graves M.A. are for informational purposes only.