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Individual

AMELIA NANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAPC LPCA

Contact information

Practice address
128 DENNIS DR, LEXINGTON, KY 40503-2917
(859) 396-0644
Mailing address
128 DENNIS DR, LEXINGTON, KY 40503-2917
(859) 396-0644

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171945
KY

Other

Enumeration date
08/31/2017
Last updated
09/25/2018
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