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Organization
KIM SEGO TULLY, LCSW, PSYCHOTHERAPY SERVICES
Active
Organization
KIM SEGO TULLY, LCSW, PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SEGO TULLY LCSW (SOLE MEMBER)
(270) 307-3672
Entity
Organization
Contact information
Practice address
240 W DIXIE AVE, SUITE 5-B, ELIZABETHTOWN, KY 42701-1586
(270) 307-3672
Mailing address
589 RUE LA GRANDE, ELIZABETHTOWN, KY 42701-3135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3167
KY
Other
Enumeration date
11/15/2012
Last updated
05/02/2017
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