Individual
MS. CLARICE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 831-2604
Mailing address
18075 DWYER ST, DETROIT, MI 48234-2601
(313) 869-8723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802046909
MI
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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