Individual
MRS. NICOLE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW TCADC
Contact information
Practice address
961 BEASLEY ST STE 170, LEXINGTON, KY 40509-4120
(859) 382-7328
(859) 286-6448
Mailing address
961 BEASLEY ST STE 170, LEXINGTON, KY 40509-4120
(859) 382-7328
(859) 286-6448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7016
KY
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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