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Individual
DAVID BIRDWHISTELL
Active
Individual
DAVID BIRDWHISTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4875
KY
1041C0700X
Clinical Social Worker
Primary
3399
KY
Other
Enumeration date
03/05/2007
Last updated
09/20/2010
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