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Individual

LAURA WESTRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3200
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3200

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
01
6100661458
FEDERAL TAX ID NUMBER
KY
Enumeration date
05/22/2007
Last updated
07/08/2007
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