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Individual

TAMMY STAMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
44 WATER ST, OWINGSVILLE, KY 40360-8944
(606) 674-9776
(606) 674-9708
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 274-4312

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
252501
KY
1041C0700X
Clinical Social Worker
Primary
252501
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100648960
KY
Enumeration date
12/04/2014
Last updated
05/28/2021
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