Individual
AMANDA PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BEASLEY ST, SUITE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
Mailing address
125 OROARK AVE APT 2, RICHMOND, KY 40475-2857
(859) 893-4410
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252042
KY
Other
Enumeration date
11/15/2016
Last updated
05/26/2022
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