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Individual

DESTINEE ELLEN AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2400 GREATSTONE PT FL 2, LEXINGTON, KY 40504-3274
(859) 323-6211
(859) 257-7706
Mailing address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2529

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
252882
KY
1041C0700X
Clinical Social Worker
Primary
255412
KY

Other

Enumeration date
05/15/2019
Last updated
03/16/2023
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