Individual
SHANNON LEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2010 EASTWOOD DR STE 300, MADISON, WI 53704-5387
(608) 509-9287
(608) 630-8089
Mailing address
2010 EASTWOOD DR STE 300, MADISON, WI 53704-5387
(608) 509-9287
(608) 630-8089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10246-123
WI
Other
Enumeration date
01/18/2024
Last updated
07/30/2025
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