Roshundra Graham
Organization Active NPI Clinical Social Worker · Redford, MI
NPI 1639599343 · NPPES record last updated Dec 10, 2014
Key facts
- NPI
- 1639599343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801085573 (MI)
- Legal business name
- ROSHUNDRA GRAHAM
- Practice address
- 24801 5 Mile Rd
Redford, MI 48239-3655 - Phone
- (313) 255-2650
- NPI assigned
- Apr 21, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Roshundra Graham, L.M.S.W.
- Title
- Clinical Social Worker
- Phone
- (313) 410-7380
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Community Care Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 6801085573 | MI | Yes |
Addresses
Primary practice location
24801 5 Mile Rd
Redford, MI 48239-3655
Mailing address
29197 Yorkshire LN
Warren, MI 48088-3784
Phone (313) 410-7380
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- Sharon Rowland
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- S.a.G.E. Adult Day Care
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All providers in Redford, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.