Individual
MRS. LISA A.M. INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
845 ANGLIANA AVE, LEXINGTON, KY 40508-3146
(859) 323-9321
(859) 257-5232
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1217
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3569
KY
1041C0700X
Clinical Social Worker
Primary
256308
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
03/12/2007
Last updated
03/16/2022
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