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Individual

ROBIN HURDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1001 MONMOUTH ST, NEWPORT, KY 41071-2116
(859) 431-4450
(859) 431-4456
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 431-4450
(859) 431-4456

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5800
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
610661458
TAX ID
KY
Enumeration date
10/12/2011
Last updated
10/12/2011
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