Individual
LAKISHIA WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCSW
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 982-1244
Mailing address
14 HITCH CT, ELIZABETHTOWN, KY 42701-4325
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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