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Organization

BIRCHWOOD COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORETTA LYNN GILMORE LCSW (LICENSED CLINICAL SOCIAL WORKER/ OW)
(859) 312-6569
Entity
Organization

Contact information

Practice address
1025 DOVE RUN RD STE 205, LEXINGTON, KY 40502-3588
(859) 312-6569
Mailing address
1025 DOVE RUN RD STE 205, LEXINGTON, KY 40502-3588
(859) 312-6569

Taxonomy

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

Other

Enumeration date
05/31/2021
Last updated
05/31/2021
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