Organization
LUCILLE LEE MCMICHAEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE LEE MCMICHAEL LCSW (OWNER)
(270) 746-9995
Entity
Organization
Contact information
Practice address
1830 DESTINY LN, SUITE 112, BOWLING GREEN, KY 42104-1087
(270) 746-9995
(270) 393-9011
Mailing address
1830 DESTINY LN, SUITE 112, BOWLING GREEN, KY 42104-1087
(270) 746-9995
(270) 393-9011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3277
KY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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