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Individual

DONNETTA LAFAYE GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
10150 MALLARD CREEK RD STE 104, CHARLOTTE, NC 28262-4567
(980) 242-7090
(980) 556-7219
Mailing address
10150 MALLARD CREEK RD STE 104, CHARLOTTE, NC 28262-4567
(980) 242-7090
(980) 556-7219

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C012891
NC
1041C0700X
Clinical Social Worker
P12112
NC

Other

Enumeration date
06/21/2014
Last updated
07/18/2025
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