Doctor Name: | MS. NANCY B. GRAHAM |
NPI Number: | 1376816959 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 020742-1 |
Business Practice Address: | 326 Orangeburgh Rd Old Tappan, NJ - 076757449 |
Business Phone Number: | 2016151475 |
Business Fax Number: | 2017842621 |
Mailing Address: | 214 Engle St, Suite 23 ENGLEWOOD |
State: | NJ |
Postal Code: | 076312443 |
Phone Number: | 2016151475 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2012 |
NPI Last Update Date: | 02/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 020742-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |