Individual
MRS. AMANDA MAE MIDKIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4815 N PRESTON HWY, SHEPHERDSVILLE, KY 40165-9223
(502) 767-9087
Mailing address
216 MILL RUN, SHEPHERDSVILLE, KY 40165-6382
(502) 767-9087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5872
KY
1041C0700X
Clinical Social Worker
Primary
3826
KY
Other
Enumeration date
01/26/2011
Last updated
12/20/2013
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