Individual
ALYSSA DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1092 DUVAL ST STE 230, LEXINGTON, KY 40515-8908
(859) 523-7383
Mailing address
110 WALDEN WAY, NICHOLASVILLE, KY 40356-8871
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
253474
KY
1041C0700X
Clinical Social Worker
Primary
256936
KY
Other
Enumeration date
08/15/2018
Last updated
01/18/2023
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