Graham, Sondra Shantel

Graham, Sondra Shantel is an individual health care provider with primary practice located at 1000 Commissioner Dr , Darien GA 31305-9487. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Graham, Sondra Shantel can be contacted via phone (912) 437-9300.

Contact Information

Primary practice address
1000 Commissioner Dr Darien GA 31305-9487
Phone: (912) 437-9300
Fax: (912) 437-9481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X MSW003847 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004919 Georgia

Profile Details

NPI number 1376587774
LBN Legal business name Graham, Sondra Shantel
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 14th, 2013 - about 11 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 1376587774 NPPES
Georgia Other MSW003847 STATE LICENSE

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