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Individual

BRIDGETTE DEBORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
321 E MAIN ST, MOREHEAD, KY 40351-1671
(606) 329-8588
(606) 329-8195
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
252134
KY
1041C0700X
Clinical Social Worker
Primary
259269
KY

Other

Enumeration date
04/20/2012
Last updated
07/09/2024
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