Individual
MARY-ELIZABETH BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Contact information
Practice address
3301 ORCHARD GRASS RD, LEXINGTON, KY 40509-8642
(859) 797-3306
Mailing address
3301 ORCHARD GRASS RD, LEXINGTON, KY 40509-8642
(859) 797-3306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256028
KY
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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