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Individual

MRS. SHIRA L BIRDWHISTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
501 DARBY CREEK RD STE 11, LEXINGTON, KY 40509-1605
(859) 229-4282
Mailing address
102 GRAYSON WAY, GEORGETOWN, KY 40324-8620
(859) 229-4282

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3619
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30615058
KY
Enumeration date
08/07/2007
Last updated
10/28/2025
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