Individual
MS. LAVENIA MICHELE AMBURGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
84 E MAIN ST, SUITE A, WHITESBURG, KY 41858-7254
(606) 633-0035
Mailing address
PO BOX 2, REDFOX, KY 41847-0002
(606) 633-0035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
148
KY
Other
Enumeration date
11/10/2006
Last updated
05/21/2012
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