Individual
BETTIE ALICIA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40511 NORTH FORBES RD, APT.120, LEXINGTON, KY 40511
(502) 542-4854
Mailing address
40511 NORTH FORBES RD, APARTMENT 120, LEXINGTON, KY 40511
(502) 542-4854
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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