Individual
PEYTON JULIETT BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 5, LEXINGTON, KY 40511-1282
(859) 253-1686
Mailing address
1351 NEWTOWN PIKE BLDG 5, LEXINGTON, KY 40511-1282
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
01/25/2021
Last updated
05/29/2024
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