Individual
MRS. DEANA RAE TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
513 MADISON AVE, COVINGTON, KY 41011-1562
(859) 291-1121
Mailing address
107 CHRISTINA CT, ALEXANDRIA, KY 41001-1081
(859) 635-7058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1040
KY
Other
Enumeration date
05/19/2006
Last updated
08/10/2009
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