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Individual

MARIAN DIANNE DENNIS

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 STE 200, LEXINGTON, KY 40517-4022
(859) 218-5677

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1301
KY
101YM0800X
Mental Health Counselor
1301
KY
103T00000X
Psychologist
1301
KY
103TP2701X
Group Psychotherapy Psychologist
1301
KY
106H00000X
Marriage & Family Therapist
1301
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82013012
KY
Enumeration date
10/21/2006
Last updated
04/30/2008
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