Search › Virginia › 172V00000X
Tandrea Graham, MSW
NPI 1740889872 · on the registry since 2020 · sole proprietor
Practice
- Address
- 628 Old Wagner Rd
Petersburg, VA 23805 - Phone
- (804) 605-6146
- Organisation at this address
- The Olivia Taylor House, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia