Individual
MARCUS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
199 FRASIER ST SE, MARIETTA, GA 30060-2201
(404) 345-4326
Mailing address
199 FRASIER ST SE, MARIETTA, GA 30060-2201
(404) 345-4326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005688
GA
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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