Individual
DENISE GRAHAM RECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW ISW 14056
Contact information
Practice address
5749 WESTGATE DR, ORLANDO, FL 32835-5040
(321) 441-8619
Mailing address
5749 WESTGATE DR, ORLANDO, FL 32835-5040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14056
FL
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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