Individual
MR. DAMON GRAHAM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
635 MYRON HART RD, COOLIDGE, GA 31738-2143
(229) 224-0655
(229) 941-5865
Mailing address
635 MYRON HART RD, COOLIDGE, GA 31738-2143
(229) 224-0655
(229) 941-5865
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005767
GA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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