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Individual

DEBORAH ANNE SHARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPP

Contact information

Practice address
70 MAIN ST, FRENCHBURG, KY 40322-8318
(606) 768-2131
(606) 768-2134
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
114276
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000238681
ANTHEM BCBS
01
1741778
CAQH #
05
7100283990
KY
Enumeration date
08/04/2006
Last updated
08/03/2022
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