Individual
CHERYL L.M GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
314 W SUPERIOR ST, 702, DULUTH, MN 55802-1805
(218) 722-4058
(218) 722-4059
Mailing address
314 W SUPERIOR ST, 702, DULUTH, MN 55802-1805
(218) 722-4058
(218) 722-4059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7560
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074235
VALUE OPTIONS
MN
01
—
1001289
BHP-MNCARE
MN
01
—
110221
BHP-UCARE
MN
01
—
385RHA
BLUE CROSS
MN
01
—
6254820
MEDICA
MN
Enumeration date
03/20/2007
Last updated
07/08/2007
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