Individual
SHANNON M. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 299-1600
Mailing address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 299-1600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
097934
NY
104100000X
Social Worker
Primary
12300
SC
Other
Enumeration date
11/30/2017
Last updated
05/08/2018
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