Individual
LAUREN MICKAELA RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11777 MANOR LAKE DR, INDEPENDENCE, KY 41051-9716
(859) 587-2995
Mailing address
11777 MANOR LAKE DR, INDEPENDENCE, KY 41051-9716
(859) 587-2995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001126
KY
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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