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Individual

CARISSA ANNE HOBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
2250 THUNDERSTICK DR., SUITE 1104, LEXINGTON, KY 40505
(859) 254-1035
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR., SUITE 1104, LEXINGTON, KY 40505-9010
(859) 254-1035
(859) 254-2075

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252899
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100539570
KY
Enumeration date
01/28/2015
Last updated
08/01/2018
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