Individual
WILLIAM NEIL CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
241 N DEPOT ST, LEBANON, KY 40033-1419
(270) 699-1542
Mailing address
241 N DEPOT ST, LEBANON, KY 40033
(270) 699-1542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
172660
KY
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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