Individual
MATTHEW BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2312 EASTWAY DR, LEXINGTON, KY 40503-1906
(270) 404-2545
Mailing address
2312 EASTWAY DR, LEXINGTON, KY 40503-1906
(270) 404-2545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3590
KY
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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