Individual
AMY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
Mailing address
1004 ASHBY CT, LEXINGTON, KY 40509-2360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW00001251
KY
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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