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Individual

DR. EURONE GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LCSW, DCSW

Contact information

Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 262-4841
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
(304) 262-4841

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C7013
MS
1041C0700X
Clinical Social Worker
Primary
KY-903
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
613
VETERANS ADMINISTRATION
WV
Enumeration date
11/10/2008
Last updated
11/10/2008
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