Individual
MRS. DESIREE MILNE ANTONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S LPA
Contact information
Practice address
300 FOXGLOVE DR, MOUNT STERLING, KY 40353-9769
(859) 498-2135
Mailing address
1212 BATH AVE, ASHLAND, KY 41101-2696
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
KY-0988
KY
Other
Enumeration date
08/13/2007
Last updated
11/02/2011
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