Individual
ASHLEY NICOLE BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
150 MOUNT CHASE DR APT A, PIKEVILLE, KY 41501-9127
(606) 471-9330
Mailing address
PO BOX 1281, PIKEVILLE, KY 41502-1281
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
254554
KY
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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