Individual
DENISE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1730 W 25TH STREET, MAIL DROP 2A, CLEVELAND, OH 44113
(216) 685-5316
Mailing address
1730 W 25TH STREET, MAIL DROP 2A, CLEVELAND, OH 44113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
120967
OH
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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