Individual
DR. LINA YS FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
3620B CREEL CT, LEXINGTON, KY 40517
(859) 245-5152
(859) 245-5152
Mailing address
3620 CREEL CT, LEXINGTON, KY 40517-2004
(859) 245-5152
(859) 245-5152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY1764
KY
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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