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Individual

MRS. LISA K. DAVIS-BLOOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
434 SCOTT ST FL 2, FAMILY SERVICE, COVINGTON, KY 41011-1528
(859) 291-1121
(859) 655-4882
Mailing address
434 SCOTT ST FL 2, FAMILY SERVICE, COVINGTON, KY 41011-1528
(859) 291-1121
(859) 655-4882

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/28/2007
Last updated
08/28/2007
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