Individual
JOSEPH MEDFORD CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
637 SAYRE AVE, LEXINGTON, KY 40508-2317
(859) 806-0026
(859) 259-1301
Mailing address
637 SAYRE AVE, LEXINGTON, KY 40508-2317
(859) 806-0026
(859) 259-1301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
397
KY
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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