Individual
MRS. SUSANNA MARIA MCQUEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
800 ROSE STREET PT AND FAMILY SERVICES H149, LEXINGTON, KY 40536-0001
(859) 257-1860
Mailing address
110 WALDEN CV, GEORGETOWN, KY 40324-1663
(859) 338-0085
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-1873
KY
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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