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Individual

MR. MICHAEL W LIPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223-5349
(270) 798-8601
Mailing address
2364 WOODLAWN RD, WOODLAWN, TN 37191-9001
(931) 801-0306

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1100-C
AR

Other

Enumeration date
09/04/2009
Last updated
06/21/2018
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