Individual
MS. REBECCA SUSAN WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218 BRECKINRIDGE DR, VERSAILLES, KY 40383-1239
(502) 465-5005
Mailing address
218 BRECKINRIDGE DR, VERSAILLES, KY 40383-1239
(859) 533-5434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254232
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100605830
—
KY
Enumeration date
03/14/2007
Last updated
08/29/2022
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