Individual
ELIZABETH AMANDA DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 ROY CAMPBELL DR, HAZARD, KY 41701-9407
(606) 435-0886
Mailing address
615 GORMAN HOLLOW RD APT 132, HAZARD, KY 41701-2313
(606) 705-1156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
04/18/2023
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