| NPI | 1033684477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA LYNN GILMORE Licensed Clinical Social Work / Own 859-312-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |