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Individual

MR. CHARLES GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
12000 LINCOLN DR W, SUITE 407 PAVILIONS AT GREENTREE, MARLTON, NJ 08053-3402
(856) 985-3404
(856) 985-7847
Mailing address
202 S ATLANTIC AVE, HADDONFIELD, NJ 08033-3302
(856) 857-1656

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01338000
NJ

Other

Enumeration date
10/20/2006
Last updated
12/28/2007
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