Individual
VINOD KUMAR SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
6417 US ROUTE 60, ASHLAND, KY 41102-8661
(606) 694-2830
Mailing address
6417 US ROUTE 60, ASHLAND, KY 41102-8661
(606) 694-2830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7029
KY
1041C0700X
Clinical Social Worker
CSW01110
RI
Other
Enumeration date
11/27/2007
Last updated
03/18/2017
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