Individual
KASSIDY MICHAELA CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 HIGHWAY 80, MANCHESTER, KY 40962-8801
(606) 596-0410
(606) 528-8272
Mailing address
1019 CUMBERLAND FALLS HWY STE B201, CORBIN, KY 40701-2793
(314) 872-1488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255718
KY
Other
Enumeration date
02/04/2019
Last updated
06/03/2021
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