Individual
MICHAEL MCCUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 LEESTOWN RD, LEXINGTON, KY 40511-2044
(859) 253-0717
Mailing address
1500 LEESTOWN RD, LEXINGTON, KY 40511-2044
(859) 253-0717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5127
KY
Other
Enumeration date
02/13/2014
Last updated
11/30/2019
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