Individual
HEATHER BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1115 ASHGROVE RD, NICHOLASVILLE, KY 40356-9202
(859) 553-9755
Mailing address
328 DUKE RD APT 3, LEXINGTON, KY 40502-2547
(303) 845-0130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255886
KY
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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