Provider Information for 1922288471
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Ms. TANDI L ORLUK MSSW,LCSW
Other Names:Former Name:Mrs. TANDI ROLPH ORLUK Tandi Lynn RolphSex: Female
NPI: 1922288471
Last Updated: 2018-03-17
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1922288471 | ||||||||||||
| Enumeration Date | 2007-11-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1101 VETERANS DR # 122-HPLD LEXINGTON, KY 40502-2235 United States Phone: 859-233-4511 | Fax:859-281-3867 | ||||||||||||
| Primary Practice Address | 1101 VETERANS DR # 122-HPLD LEXINGTON, KY 40502-2235 United States Phone: 859-233-4511 | Fax:859-281-3867 | ||||||||||||
| Secondary Practice Address(es) | 415 GIBSON LN | ||||||||||||
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