Amanda Graham, LICSW
Social Worker, Clinical in Rochester, MN. Individual provider (NPI-1).
NPI number1407487523
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1407487523
- Entity type
- Individual (NPI-1)
- Name
- Amanda Graham
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2020
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 21348 | MN | Yes |
| 104100000X | Social Worker | 21348 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
Po Box 860912Minneapolis, MN 55486-0912
Phone 507-284-2511
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