Antonnette V Graham
Social Worker
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
Antonnette V Graham
Social Worker
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
(440) 449-1555
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About
Features
Specialties
- Social Worker
Languages spoken
- English
Location
First Address
- Antonnette V Graham
- 5910 Landerbrook Dr Suite 250
- Mayfield Hts, OH
- Zip : 44124-6508
- Fax : (440) 449-1555
- Phone : (440) 684-5829
Second Address
- Antonnette V Graham
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Fax : (440) 449-1555
- Phone : (216) 844-3944
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1.0002629 | OH |
National Provider Identifier
| NPI | 1003834011 |
|---|---|
| Provider Name | Antonnette V Graham |
| First Address | Mayfield Hts, OH 44124-6508 |
| Second Address | Cleveland, OH 44106-1716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000311189 | ANTHEM (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.