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Individual

MRS. PATSY MORGAN TIVITT-MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
346 S MAIN ST, LEITCHFIELD, KY 42754-1428
(270) 230-1777
Mailing address
PO BOX 4237, LEITCHFIELD, KY 42755-4237
(270) 230-1777

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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