Individual
WILLIAM JOSEPH RAISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
127 W FIFTH ST, LEXINGTON, KY 40508-3707
(859) 523-5901
Mailing address
127 W FIFTH ST, LEXINGTON, KY 40508-3707
(859) 523-5901
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
R95-123-724
KY
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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