| Doctor Name: | MS. ANNE WIER EASON |
| NPI Number: | 1558354167 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | I0008020 |
| Business Practice Address: | 519 Licking Pike Therapeutic Collaborative Wilder, KY - 410712941 |
| Business Phone Number: | 8595720400 |
| Business Fax Number: | 8594423363 |
| Mailing Address: | 779 Crocus Ln, TAYLOR MILL |
| State: | KY |
| Postal Code: | 410154125 |
| Phone Number: | 8594916885 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0008020 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |