Individual
AMANDA BALOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BEASLEY ST, SUITE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Mailing address
900 BEASLEY ST, SUITE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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