Individual
JERI C. GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
727 SE CASS AVE STE 306, ROSEBURG, OR 97470-4954
(541) 673-8404
(541) 673-1042
Mailing address
727 SE CASS AVE STE 306, ROSEBURG, OR 97470-4954
(541) 673-8404
(541) 673-1042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
872
OR
Other
Enumeration date
01/10/2007
Last updated
07/04/2008
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