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1013030634
JOHN S GRAVITT
LOUISVILLE, KY
NPI
1013030634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY KY-1150)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. JOHN S GRAVITT LCSW
1028 BARRET AVE
LOUISVILLE, KY 40204-1667
Phone number: 502-451-1221
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Mailing Address
Mr. JOHN S GRAVITT LCSW
1028 BARRET AVE
LOUISVILLE, KY 40204-1667
Phone number: 502-451-1221
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