Individual
LADONNA KAY TYLER-GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
104 S FRONT AVE, PRESTONSBURG, KY 41653
(606) 886-8572
(606) 886-4433
Mailing address
104 S FRONT AVE, PRESTONSBURG, KY 41653-1614
(606) 886-8572
(606) 886-4433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3611
KY
Other
Enumeration date
05/18/2012
Last updated
09/06/2019
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