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Individual

MRS. JENNIFER ANNE GEORGE MCGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA ATR BC

Contact information

Practice address
519 LICKING PIKE, WILDER, KY 41071-2941
(859) 572-0400
(859) 442-3363
Mailing address
333 6TH AVENUE, DAYTON, KY 41074-1115
(859) 581-6670

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
KY-0144
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64283328
KY
Enumeration date
04/09/2007
Last updated
07/08/2007
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