Individual
CAROLINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LPHA
Contact information
Practice address
1205 MACKAY PL, SAINT LOUIS, MO 63104-2407
(573) 353-6291
Mailing address
PO BOX 430001, SAINT LOUIS, MO 63143-0101
(573) 353-6291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149021922
IL
1041C0700X
Clinical Social Worker
Primary
2020012397
MO
Other
Enumeration date
02/27/2018
Last updated
12/09/2020
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