Individual
MRS. LORINDA BOTNER COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
324 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 300-4715
Mailing address
2250 THUNDERSTICK DR STE 1104, LEXINGTON, KY 40505-9009
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
253536
KY
1041C0700X
Clinical Social Worker
Primary
255604
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100756130
—
KY
Enumeration date
09/19/2018
Last updated
08/10/2021
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