Provider Demographics
NPI:1780394940
Name:GRAHS, MEGHAN (LGSW)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:GRAHS
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 UNIVERSITY AVE SE APT 302
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-1766
Mailing Address - Country:US
Mailing Address - Phone:319-551-7022
Mailing Address - Fax:
Practice Address - Street 1:516 UNIVERSITY AVE SE APT 302
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-1766
Practice Address - Country:US
Practice Address - Phone:319-551-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31406390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program