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Individual

MISTY APRIL NUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
409 RICHMOND RD, MANCHESTER, KY 40962-1373
(606) 594-7479
Mailing address
PO BOX 568, CORBIN, KY 40702-0568

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5134
KY
1041C0700X
Clinical Social Worker
6939
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100403190
KY
Enumeration date
08/18/2014
Last updated
08/24/2021
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