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Individual

MISS AMANDA G MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 726-2151
(606) 726-2149
Mailing address
236 W MAIN ST, MOUNT STERLING, KY 40353-1348
(859) 404-7686
(859) 274-4312

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
5017
KY
1041C0700X
Clinical Social Worker
Primary
5017
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100499680
KY
Enumeration date
03/30/2012
Last updated
10/20/2021
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