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Individual

LANETTE SYVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CSW

Contact information

Practice address
438 WASHINGTON ST, STANTON, KY 40380-2048
(606) 663-2274
Mailing address
438 WASHINGTON ST, STANTON, KY 40380-2048

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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