Individual
MS. KESHA DENEAN WALL GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
4904 PINERIDGE RD, SUMMERVILLE, SC 29485-8958
(843) 303-7758
Mailing address
4904 PINERIDGE RD, SUMMERVILLE, SC 29485-8958
(843) 303-7758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9359
SC
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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