Individual
NATALIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Mailing address
4014 HUMPHREY ST, SAINT LOUIS, MO 63116-3823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016016573
MO
Other
Enumeration date
02/24/2020
Last updated
08/09/2022
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