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Individual

MR. PAUL S O'NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
650 NEWTOWN PIKE, LEXINGTON, KY 40508-1113
(859) 252-2371
Mailing address
650 NEWTOWN PIKE, LEXINGTON, KY 40508-1113
(859) 252-2371

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3334
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100199060
KY
Enumeration date
08/05/2010
Last updated
06/11/2012
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