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Individual

WANDA WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
305 WATERTOWER BYPASS, CAMPBELLSVILLE, KY 42718-8661
(270) 465-7424
(606) 678-5296
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/22/2009
Last updated
03/14/2017
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