Individual
ANITA EARLYWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 425-1210
(859) 425-1213
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 425-1210
(859) 425-1213
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101YMO8OOX
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
09/20/2016
Last updated
09/20/2016
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