Individual
MRS. MELINDA HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 WEDDINGTON BRANCH RD, PIKEVILLE, KY 41501
(606) 432-7001
(606) 432-0047
Mailing address
300 HOPE ST, MT WASHINGTON, KY 40047-7757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
253068
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100559110
—
KY
Enumeration date
07/11/2012
Last updated
01/28/2019
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