Individual
MRS. LACRETIA CAROLYN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
343 WALLER AVE, LEXINGTON, KY 40504-2912
(859) 271-9448
(859) 272-6893
Mailing address
85 DOAN LN, CYNTHIANA, KY 41031-8529
(859) 234-9451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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