Provider Demographics
NPI:1013035872
Name:CHRAIM, MARIAM (LLMSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIAM
Middle Name:
Last Name:CHRAIM
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7644 W MORROW CIR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1155
Mailing Address - Country:US
Mailing Address - Phone:313-945-0010
Mailing Address - Fax:
Practice Address - Street 1:7644 W MORROW CIR
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1155
Practice Address - Country:US
Practice Address - Phone:313-945-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker