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NPI Code Detail

MEDICARE: KATHRYN ERIKA GRAHAM MSW, LCSW

MEDICARE: KATHRYN ERIKA GRAHAM MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW020964PA

General Provider Information

NPI Number : 1548878457
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ERIKA GRAHAM MSW, LCSW
Provider Business Mailing Address
First Line : 865 EASTON RD STE 180
Second Line :
City : WARRINGTON
State : PA
Zip : 18976-1879
Country : US
Telephone Number : 215-999-4724
Fax Number : 267-762-4368
Provider Business Practice Location Address
First Line : 865 EASTON RD STE 180
Second Line :
City : WARRINGTON
State : PA
Zip : 18976-1879
Country : US
Telephone Number : 215-999-4724
Fax Number : 267-762-4368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2020
Last Update Date : 01/31/2024

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