Individual
LINDA B GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
200 PATEWOOD DR, SUITE A320, GREENVILLE, SC 29615-3593
(864) 454-5100
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
006507
SC
1041C0700X
Clinical Social Worker
Primary
6507
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QM0756
—
SC
Enumeration date
06/09/2006
Last updated
03/15/2018
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