Individual
MRS. BRENDA KAY DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
229 W WALNUT ST, MAYFIELD, KY 42066-2223
(270) 251-3666
(270) 251-3506
Mailing address
P.O. B0X 987, MAYFIELD, KY 42066
(270) 251-3666
(270) 251-3506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000003332
TN
1041C0700X
Clinical Social Worker
1610
KY
Other
Enumeration date
08/15/2005
Last updated
07/28/2008
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