Individual
LESIA MECHELLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 CEMETERY RD, AUBURN, KY 42206-5321
(270) 438-9344
Mailing address
2830 CEMETERY RD, AUBURN, KY 42206-5321
(270) 438-9344
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
C95557893
KY
Other
Enumeration date
06/12/2022
Last updated
06/12/2022
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