Individual
DIONNE MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S, LICDC
Contact information
Practice address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 685-8010
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
081035
OH
1041C0700X
Clinical Social Worker
Primary
I.1700656
OH
Other
Enumeration date
01/21/2018
Last updated
05/18/2023
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