Individual
AVIQON SHANTELL GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1001 NAVAHO DR STE GL150, RALEIGH, NC 27609-7318
(919) 848-9108
Mailing address
218 EDDY TRL, DURHAM, NC 27703-6587
(910) 538-3992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021248
NC
Other
Enumeration date
08/04/2025
Last updated
08/05/2025
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