Individual
ANN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2244 EXECUTIVE DR, HAMPTON, VA 23666-2430
(757) 827-1001
Mailing address
117 BOTETOURT RD, NEWPORT NEWS, VA 23601-3601
(757) 599-4566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001715
NC
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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