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Mallory M Bitterman
Mental Health Counselor in Wilmore, Kentucky
NPI 1356800577

Mallory M Bitterman is a Mental Health Counselor based in Wilmore, KY and is specialized in Mental Health. Mallory M Bitterman practices in Wilmore, KY. The NPI Number for Mallory M Bitterman is 1356800577 and holds a License No. (Kentucky).

The current practice location address for Mallory M Bitterman is 124 Asbury Dr, Wilmore, KY and can be reached out via phone at 765-480-3259.

Location: 124 Asbury Dr, Wilmore, KY, 40390-1115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356800577
Provider Name
Mallory M Bitterman
Credential
Provider Entity Type
Individual
Gender
Female
Address
124 Asbury Dr, Wilmore, KY, 40390-1115
Phone Number
765-480-3259
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1256 05 KY
institution
Provider Business Practice Location Address Details
Address
124 Asbury Dr
City
Wilmore
State
Kentucky
Zip
40390-1115
Phone Number
765-480-3259
Fax Number
person
Provider Business Mailing Address Details
Address
124 Asbury Dr
City
Wilmore
State
Kentucky
Zip
40390-1115
Phone Number
765-480-3259
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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