IRVIN SOUTHWOOD

SOMERSET, KY
NPI1689355216
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: KY  1206172)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
IRVIN SOUTHWOOD CPSS
80 HIGHWAY 2227
SOMERSET, KY 42503-1562
Phone number: 606-485-4003
Mailing Address
IRVIN SOUTHWOOD CPSS
80 HIGHWAY 2227
SOMERSET, KY 42503-1562
Phone number: 606-485-4003