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Individual

TAWNYA KORDENBROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
3800 CHURCH ST., COVINGTON, KY 41015-0742
(859) 468-7534
Mailing address
PO BOX 15742, 3800 CHURCH STREET, COVINGTON, KY 41015-0742
(859) 468-7534

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1084
KY
101YP2500X
Professional Counselor
C 0700029
OH

Other

Enumeration date
04/20/2011
Last updated
04/20/2011
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