Individual
KEVIN WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY 42103
(270) 901-5000
(270) 842-6553
Mailing address
238 CUMBERLAND CIR, BOWLING GREEN, KY 42103-9008
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1276
KY
Other
Enumeration date
08/30/2006
Last updated
11/26/2024
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