Individual
JONATHAN I GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
6454 ALAMO AVE APT 1W, CLAYTON, MO 63105-3155
(501) 247-7240
Mailing address
6454 ALAMO AVE APT 1W, CLAYTON, MO 63105-3155
(501) 247-7240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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