Provider Information for 1447205786
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CHERYL MILLER-TIVITT LCSW, MSSW
Sex: Female
NPI: 1447205786
Last Updated: 2007-10-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1447205786 | ||||||||||||||||||||
| Enumeration Date | 2006-05-24 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 107 CRANES ROOST CT ELIZABETHTOWN, KY 42701-3650 United States Phone: 270-765-2605 | Fax:270-766-1222 | ||||||||||||||||||||
| Primary Practice Address | 607 OLD HIGHWAY 60 HARDINSBURG, KY 40143-2511 United States Phone: 270-756-5816 | Fax:270-756-5815 | ||||||||||||||||||||
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