Individual
PATRICK GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
100 N ROCKINGCHAIR RD STE 1-3, PARAGOULD, AR 72450-2413
(870) 335-9617
(870) 335-9618
Mailing address
100 N ROCKINGCHAIR RD STE 1-3, PARAGOULD, AR 72450-2413
(870) 335-9617
(870) 335-9618
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1613-M
AR
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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