Individual
HEATHER STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
374 N KY 7, SANDY HOOK, KY 41171-7938
(606) 783-6163
Mailing address
PO BOX 790, PRESTONSBURG, KY 41653-0790
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
256146
KY
1041C0700X
Clinical Social Worker
Primary
259664
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/18/2016
Last updated
01/13/2025
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