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Individual

MS. LISA TODD GRADDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, MS

Contact information

Practice address
360 AMSDEN AVE, SUITE #402, VERSAILLES, KY 40383-1851
(859) 608-3578
(859) 846-4904
Mailing address
360 AMSDEN AVE, SUITE #402, VERSAILLES, KY 40383-1851
(859) 608-3578
(859) 846-4904

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1790
KY

Other

Enumeration date
01/21/2007
Last updated
07/08/2007
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