Individual
MIRANDA JO BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1072 S DIXIE BLVD, RADCLIFF, KY 40160-1103
(270) 351-8166
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5104
KY
Other
Enumeration date
11/27/2013
Last updated
03/30/2016
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