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Individual

MRS. HOLLY LAFAVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DI

Contact information

Practice address
303 SECOND ST, SOMERSET, KY 42501-1785
(606) 677-1166
(606) 677-0693
Mailing address
519 CHANDLER ST, SOMERSET, KY 42501-2268
(606) 219-1678

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
03/19/2007
Last updated
05/09/2016
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