Individual
MR. JOSEPH GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
400 HIGHTWAY 64 EAST, AUGUSTA, AR 72006-5150
(870) 347-3352
(870) 347-5556
Mailing address
117 S 2ND ST, PO BOX 497, AUGUSTA, AR 72006-2309
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2155-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155-C
ARKANSAS STATE LICENSE
AR
Enumeration date
12/03/2008
Last updated
06/26/2014
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