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Individual

BETHANY FOURTNEY HIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
3470 BLAZER PKWY, LEXINGTON, KY 40509-1200
(859) 323-6021
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1912
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82001074
KY
Enumeration date
10/21/2006
Last updated
10/06/2020
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