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Organization
MERRILL GRAHAM LLC
Active
Organization
MERRILL GRAHAM LLC
Active
Other names
Merrill Graham
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERRILL GRAHAM PHD, LMSW (CLINICIAN)
(616) 210-3888
Entity
Organization
Contact information
Practice address
1550 E BELTLINE AVE SE STE 340, GRAND RAPIDS, MI 49506-4362
(616) 210-3888
Mailing address
3037 RIVERWOODS DR NE, ROCKFORD, MI 49341-9290
(616) 914-6331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD14559
—
MI
Enumeration date
06/25/2021
Last updated
06/25/2021
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