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Individual

SARAH JO FATHERGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
360 W LOUDON AVE, LEXINGTON, KY 40508-3729
(859) 288-2425
(859) 288-7510
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 288-7510

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259676
KY
171M00000X
Case Manager/Care Coordinator
KY

Other

Enumeration date
11/06/2018
Last updated
01/27/2025
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