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Gerald Graham

Case Manager/Care Coordinator in Hamilton, OH. Individual provider (NPI-1).

NPI number1013547876
StatusActive
Last updated in NPPESJan 21, 2020

Details

NPI
1013547876
Entity type
Individual (NPI-1)
Name
Gerald Graham
Sex
Male
Sole proprietor
No
Enumeration date
Jan 21, 2020
Certification date
Jan 21, 2020
Last updated
Jan 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1910 Fairgrove Ave
Hamilton, OH 45011-1930

Phone 513-437-0493 · Fax 513-297-7577

Mailing address

6942 Tylersville Rd
West Chester, OH 45069-1511

Phone 513-437-0493 · Fax 513-297-7577

Other practice locations

6942 Tylersville Rd
West Chester, OH 45069-1511

Phone 513-437-0493 · Fax 513-297-7577

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