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NPI Code Detail

MEDICARE: AMANDA ELISE LAY MSW

MEDICARE: AMANDA ELISE LAY MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1740691559
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA ELISE LAY MSW
Provider Business Mailing Address
First Line : 455 POPE AVE
Second Line :
City : HARRODSBURG
State : KY
Zip : 40330-7504
Country : US
Telephone Number : 859-612-8150
Fax Number :
Provider Business Practice Location Address
First Line : 106 BELINDA BLVD
Second Line :
City : DANVILLE
State : KY
Zip : 40422-3217
Country : US
Telephone Number : 859-209-2320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 03/18/2016

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