Sonny Carlos Garrett-Graham, B.S.W.
Rehabilitation Practitioner in San Diego, CA. Individual provider (NPI-1).
NPI number1194379727
StatusActive
Last updated in NPPESMar 28, 2025
Details
- NPI
- 1194379727
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sonny Carlos Garrett-Graham
- Credential
- B.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2019
- Certification date
- Mar 28, 2025
- Last updated
- Mar 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 104100000X | Social Worker | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 225800000X | Recreation Therapist | – | – |
Practice location
6160 Mission Gorge Rd Ste 108San Diego, CA 92120-3425
Phone 619-481-5200
Mailing address
1660 Hotel Cir N Ste 101San Diego, CA 92108-2801
Phone 619-481-3840
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