Individual
LAUREN POLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
204 BEVINS LN STE A, GEORGETOWN, KY 40324-6145
(859) 951-9777
(859) 951-9779
Mailing address
204 BEVINS LN STE A, GEORGETOWN, KY 40324-6145
(859) 951-9777
(859) 951-9779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
257607
KY
1041C0700X
Clinical Social Worker
257607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
02/08/2022
Last updated
09/16/2024
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