Individual
SAMANTHA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 PACELLI PL, WORTHINGTON HILLS, KY 40245-1796
(270) 765-3663
Mailing address
4120 PACELLI PL, WORTHINGTON HILLS, KY 40245-1796
(270) 765-3663
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
171249
KY
Other
Enumeration date
04/27/2012
Last updated
03/07/2017
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