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Individual

SUSAN ELLEN OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
593 E MAIN ST, FRANKFORT, KY 40601-2332
(502) 223-0308
(502) 227-5764
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1738
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
KY
Enumeration date
08/31/2017
Last updated
08/31/2017
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