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Contact Information

SUSANNE W GRAHAM, LCSW, MSW
808 N 3RD ST
GOSHEN, IN46528
 Phone: 574-534-0088
 Fax: 574-971-8434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for SUSANNE W GRAHAM · (Female)

NPI # 1669642229
Status Active
Credentials LCSW, MSW
Entity Individual
Enumeration date 03/10/2008
Last updated 03/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SW18176
  • IN License # 34005937A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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