Individual
LIDA SUSAN BARNETT-ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 S CLINTON ST, LEITCHFIELD, KY 42754-1492
(270) 259-4652
(270) 234-8572
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
(270) 234-8572
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5496
KY
Other
Enumeration date
02/25/2009
Last updated
07/30/2012
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