Individual
BRENDA C TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
299 GLASGOW ROAD, BURKESVILLE, KY 42717
(270) 864-2511
Mailing address
1006 ALLEN ST, PO BOX 412, ALBANY, KY 42602-1734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-863
KY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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