Individual
AMANDA DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
6900 HOUSTON RD STE 12, FLORENCE, KY 41042-4891
(310) 619-8989
Mailing address
1904 APPEALS CT, INDEPENDENCE, KY 41051-8679
(859) 757-8932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255743
KY
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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