Individual
DONALD VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
506 HOPKINSVILLE ST, GREENVILLE, KY 42345-1104
(270) 338-5211
(270) 338-1624
Mailing address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1135
KY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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