Individual
AMANDA MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 CONN ST, IVEL, KY 41642-9406
(859) 640-7243
Mailing address
9188 META HWY, PIKEVILLE, KY 41501-4741
(606) 424-6800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
KY
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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