Individual
MRS. EMILY SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Mailing address
340 LEGION DR, SUIT 28, LEXINGTON, KY 40504-2716
(859) 276-0533
(859) 277-3653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
255077
KY
251B00000X
Case Management Agency
251B00000X
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
09/26/2016
Last updated
08/11/2020
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