Doctor Name: | DR. EURONE GRAHAM |
NPI Number: | 1003060682 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, LCSW, DCSW |
License Number: | C7013 |
Business Practice Address: | 510 Butler Ave Martinsburg, WV - 254059990 |
Business Phone Number: | 3042630811 |
Business Fax Number: | 3042624841 |
Mailing Address: | 510 Butler Ave, MARTINSBURG |
State: | WV |
Postal Code: | 254059990 |
Phone Number: | 3042630811 |
Fax Number: | 3042624841 |
NPI Enumeration Date: | 11/10/2008 |
NPI Last Update Date: | 11/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C7013 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |