Individual
MARY LINDA GRANACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 HARRODSBURG, SUITE A 400, LEXINGTON, KY 40504
(859) 277-5213
(859) 277-5413
Mailing address
1401 HARRODSBURG RD, SUITE A 400, LEXINGTON, KY 40504
(859) 277-5213
(859) 277-5413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1257
KY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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