Individual
ALICE STILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
640 WRIGHT AVE, BOWLING GREEN, KY 42103-1679
(270) 901-5000
(270) 782-5927
Mailing address
267 HICKORY LN, BOWLING GREEN, KY 42101-7830
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1757
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
08/30/2006
Last updated
07/08/2007
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