Individual
HAYLEY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, CSW
Contact information
Practice address
1307 CINCINNATI ROAD, GOERGETOWN, KY 40324
(502) 868-0664
Mailing address
1307 CINCINNATI ROAD, GEORGETOWN, KY 40324
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
255505
KY
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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