Individual
HEATHER BROOK GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718
(270) 465-7768
Mailing address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718-4908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
06/03/2019
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