Individual
SARAH JOANNE WALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
KY
Enumeration date
05/03/2016
Last updated
03/17/2018
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