Individual provider · Type 1 NPI

Clarence Dante Graham

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1346082450 Active

Practice location

660 S Euclid Ave
St. Louis, MO 63110-1010

Call (920) 382-2328 Map

Mailing address

925 N 87th St
Milwaukee, WI 53226-4812

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346082450

Clarence Dante Graham's National Provider Identifier is 1346082450, issued on Jun 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 2, 2025.