Individual
KAREN A GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPWAF
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-7121
(270) 443-9692
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
100317
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KY-164
PSYCHOLOGY AUTONOMOUS FUN
KY
Enumeration date
12/19/2006
Last updated
07/15/2021
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