Individual
HANNAH KATHRYN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Mailing address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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