Provider Information for 1699824714
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Mrs. PAULA L EVERHART LCSW
Sex: Female
NPI: 1699824714
Last Updated: 2018-10-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699824714 | ||||||||||||
| Enumeration Date | 2007-01-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 163 SPRING RUN ST VERSAILLES, KY 40383-1803 United States Phone: 859-312-1878 | Fax: | ||||||||||||
| Primary Practice Address | 163 SPRING RUN ST VERSAILLES, KY 40383 United States Phone: 859-312-1878 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 1060 GLENSBORO RD 1115 ASHGROVE RD | ||||||||||||
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