Individual
MRS. MORGAN ELLYSE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6295 E KY 70, LIBERTY, KY 42539-6762
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252995
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14143680
CAQH
—
05
—
7100520070
—
KY
Enumeration date
02/26/2018
Last updated
07/13/2023
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