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Individual

PHILLIP MYRON THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 LEESTOWN RD STE 232, LEXINGTON, KY 40511-9266
(855) 591-0092
Mailing address
1500 LEESTOWN RD STE 232, LEXINGTON, KY 40511-9266
(855) 591-0092

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259175
KY

Other

Enumeration date
09/04/2025
Last updated
10/14/2025
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