Most Relevant Information
Provider Data
| NPI Number: | 1003834011 |
| Provider Name: | ANTONNETTE V GRAHAM LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 1.0002629 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
11100 EUCLID AVE
CLEVELAND
OH
441061716
Practice Location Phone/Fax
| Phone: | 2168443944 |
| Fax: | 4404491555 |
Provider Mailing Location
5910 LANDERBROOK DR
SUITE 250
MAYFIELD HTS
OH
441246508
Provider Mailing Phone/Fax
| Phone: | 4406845829 |
| Fax: | 4404491555 |