Individual
BRITTANY GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
13317 COUNTY HIGHWAY 12, VENEDY, IL 62214-1103
(618) 317-1537
Mailing address
12400 BIELEFELD LN, BLACK JACK, MO 63033-4254
(618) 616-7228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017984
IL
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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