Individual
LISA V. STOCKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1706
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 706-1706
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-1950
KY
Other
Enumeration date
05/14/2010
Last updated
04/29/2014
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