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Individual

DR. BRITTA D CAUDILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSW, LCSW

Contact information

Practice address
140 FRASURE HILL DR, PRESTONSBURG, KY 41653-8910
(606) 506-4291
(606) 506-0147
Mailing address
140 FRASURE HILL DR, PRESTONSBURG, KY 41653-8910
(606) 506-4291
(606) 506-0147

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253998
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100589540
KY
Enumeration date
04/10/2019
Last updated
08/13/2024
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