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Individual

MRS. BLAIR POORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, LSW

Contact information

Practice address
1351 NEWTOWN PIKE BLDG 5, LEXINGTON, KY 40511-1282
(859) 272-7483
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
10/23/2014
Last updated
09/25/2019
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