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NPI Code Detail

MEDICARE: RUTH K VERST LCSW

MEDICARE: RUTH K VERST LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1705KY

General Provider Information

NPI Number : 1023061603
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH K VERST LCSW
Provider Business Mailing Address
First Line : 502 FARRELL DR
Second Line :
City : COVINGTON
State : KY
Zip : 41011-3717
Country : US
Telephone Number : 859-331-3292
Fax Number : 859-578-2468
Provider Business Practice Location Address
First Line : 502 FARRELL DR
Second Line :
City : COVINGTON
State : KY
Zip : 41011-3717
Country : US
Telephone Number : 859-331-3292
Fax Number : 859-578-2468
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/08/2007

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Directions to “ RUTH K VERST LCSW” Practice Location

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