Individual
MIKKI S PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
218 COLUMBIA AVE, GLASGOW, KY 42141-2932
(270) 651-7070
(270) 651-7071
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
(606) 679-4782
(606) 678-5296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3984
KY
Other
Enumeration date
02/09/2007
Last updated
02/23/2021
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