Individual
SHAYLA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1006 NEW MOODY LN STE 201, LA GRANGE, KY 40031-9122
(502) 222-6730
(502) 222-6731
Mailing address
1006 NEW MOODY LN STE 201, LA GRANGE, KY 40031-9122
(502) 222-6730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258489
KY
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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