LYDIA GRAVITT

PRESTONSBURG, KY
NPI1629773031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2023-04-04
Last Update Date2023-12-19
Business Address
LYDIA GRAVITT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
LYDIA GRAVITT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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