Provider Demographics
NPI:1093959041
Name:GRAHAM, NANCY BRANNICK (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:BRANNICK
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15414 PRADE RANCH LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6439
Mailing Address - Country:US
Mailing Address - Phone:713-385-3995
Mailing Address - Fax:
Practice Address - Street 1:15414 PRADE RANCH LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6439
Practice Address - Country:US
Practice Address - Phone:713-385-3995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX409971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical