Provider Demographics
NPI:1881804136
Name:GRAHAM, CLARE JULIANNE (LCSW)
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:JULIANNE
Last Name:GRAHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 SHERIDAN BLVD
Mailing Address - Street 2:C108
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80003-6104
Mailing Address - Country:US
Mailing Address - Phone:303-412-7661
Mailing Address - Fax:303-444-2372
Practice Address - Street 1:8120 SHERIDAN BLVD
Practice Address - Street 2:C108
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-6104
Practice Address - Country:US
Practice Address - Phone:303-412-7661
Practice Address - Fax:303-444-2372
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9850621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical