Individual
AMANDA SWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
163 SPRING RUN ST, VERSAILLES, KY 40383-1803
(859) 625-2249
(859) 251-4347
Mailing address
163 SPRING RUN ST, VERSAILLES, KY 40383-1803
(859) 625-2249
(859) 251-4347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
255855
KY
1041S0200X
School Social Worker
255855
KY
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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