Individual
PAULA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3629 CHURCH ST, COVINGTON, KY 41015-1430
(859) 581-8974
(859) 581-9595
Mailing address
3629 CHURCH ST, COVINGTON, KY 41015-1430
(859) 581-8974
(859) 581-9595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2066
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
09/21/2006
Last updated
06/10/2013
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