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Individual

MS. LUCKY LEE COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, BCD

Contact information

Practice address
416 S 4TH ST, DANVILLE, KY 40422-2085
(859) 236-0853
(859) 236-0854
Mailing address
416 S 4TH ST, DANVILLE, KY 40422-2085
(859) 236-0853
(859) 236-0854

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
75
KY

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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