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Individual

MRS. PAULA L EVERHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
163 SPRING RUN ST, VERSAILLES, KY 40383
(859) 312-1878
Mailing address
163 SPRING RUN ST, VERSAILLES, KY 40383-1803
(859) 312-1878

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
3026
KY
1041C0700X
Clinical Social Worker
Primary
252987
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30615058
KY
Enumeration date
01/09/2007
Last updated
10/11/2018
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