Provider Demographics
NPI:1477265965
Name:GRAFFAREE, JULIEONA
Entity type:Individual
Prefix:
First Name:JULIEONA
Middle Name:
Last Name:GRAFFAREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16309 CLEARVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-3709
Mailing Address - Country:US
Mailing Address - Phone:216-259-2254
Mailing Address - Fax:
Practice Address - Street 1:16309 CLEARVIEW AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-3709
Practice Address - Country:US
Practice Address - Phone:216-259-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator