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Individual

AMBER WORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
214 BRECKENRIDGE LN STE 205, LOUISVILLE, KY 40207-3879
(502) 536-7187
Mailing address
214 BRECKENRIDGE LN STE 205, LOUISVILLE, KY 40207-3879
(502) 536-7187

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
244274
KY

Other

Enumeration date
10/07/2015
Last updated
09/28/2018
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