Individual
NICKY C GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 MAIN ST NW STE 103, BOURBONNAIS, IL 60914-1936
(815) 200-8518
Mailing address
34 NORMAN ST, KANKAKEE, IL 60901-6031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.119365
IL
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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