Individual
MRS. SHANNON SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2507
Mailing address
3748 WARGRAVE WALK, LEXINGTON, KY 40509-4507
(859) 797-1104
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5706
KY
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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