Individual
MRS. STEPHANIE GANNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2816 BLUEGRASS DR, HIGHLAND HEIGHTS, KY 41076-1577
(859) 442-8500
(859) 442-8555
Mailing address
2816 BLUEGRASS DR, HIGHLAND HEIGHTS, KY 41076-1577
(859) 442-8500
(859) 442-8555
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4505
KY
1041C0700X
Clinical Social Worker
Primary
252198
KY
Other
Enumeration date
11/06/2013
Last updated
08/23/2016
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