Individual
BARBARA J GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
6200 AURORA AVE, URBANDALE, IA 50322-2800
(515) 331-0303
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00799
IA
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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