Individual
MRS. VICKI-LEA AMBER WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Mailing address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(606) 768-9190
(606) 768-9180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5090
KY MEDICAL LICENSE
KY
05
—
7100433280
—
KY
Enumeration date
09/23/2008
Last updated
03/29/2017
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