Graham, Alicia Lynn

Graham, Alicia Lynn is an individual health care provider with primary practice located at 6605 West Central Ave , Toledo OH 43617. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Graham, Alicia Lynn can be contacted via phone (419) 841-7701.

Contact Information

Primary practice address
6605 West Central Ave Toledo OH 43617
Phone: (419) 841-7701
Fax: (419) 841-1691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0800184 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X I.0800184 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S.0500348 Ohio

Profile Details

NPI number 1790976744
LBN Legal business name Graham, Alicia Lynn
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Aug 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790976744 NPPES
Ohio MEDICAID 1790976744

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