Individual
MRS. AMY COOPER-PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
137 E MAIN ST, GEORGETOWN, KY 40324-1786
(859) 309-6245
Mailing address
137 E MAIN ST, GEORGETOWN, KY 40324-1786
(859) 309-6245
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1759
KY
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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