Individual
MRS. AUDREA BERRONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
218 MANDALAY RD, LEXINGTON, KY 40504
(859) 288-2425
(859) 721-3918
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 721-3918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3905
KY
1041C0700X
Clinical Social Worker
6249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270795565
—
KY
Enumeration date
01/11/2012
Last updated
05/23/2019
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