Individual
MARY KATHRYN PENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3701 LANSDOWNE DR, ASHLAND, KY 41102
(606) 324-3005
(606) 329-1530
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY1931
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372231
ANTHEM BCBS
—
01
—
1223428
CHA
—
05
—
30610026
—
KY
Enumeration date
07/07/2006
Last updated
07/08/2007
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