| Doctor Name: | CARLOS DEVONE GRAHAM |
| NPI Number: | 1003148446 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | C007323 |
| Business Practice Address: | 3515 W Market St Ste 120 Greensboro, NC - 274034441 |
| Business Phone Number: | 3363335366 |
| Business Fax Number: | 3363335046 |
| Mailing Address: | 3515 W Market St Ste 120, GREENSBORO |
| State: | NC |
| Postal Code: | 274034441 |
| Phone Number: | 3363335366 |
| Fax Number: | 3363335046 |
| NPI Enumeration Date: | 02/10/2010 |
| NPI Last Update Date: | 01/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C007323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |