Individual
CHARLES E GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6443
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801088470
MI
1041C0700X
Clinical Social Worker
Primary
6801088470
MI
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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