Organization
CRAIG CONGLETON LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG BREWER CONGLETON LCSW (OWNER)
(859) 254-8185
Entity
Organization
Contact information
Practice address
1105 S LIMESTONE, LEXINGTON, KY 40503-1057
(859) 254-8185
Mailing address
125 KENTUCKY AVE, LEXINGTON, KY 40502-1718
(859) 254-8185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0725
KY
Other
Enumeration date
01/15/2006
Last updated
08/22/2020
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