Individual
MR. GALEN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1229 COLORADO RD, LEXINGTON, KY 40509-2397
(859) 888-0262
Mailing address
1229 COLORADO RD, LEXINGTON, KY 40509-2397
(859) 888-0262
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
252662
KY
1041C0700X
Clinical Social Worker
Primary
252662
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100716830
—
KY
Enumeration date
08/15/2017
Last updated
12/30/2021
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