Individual
AISSA V MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-4539
Mailing address
96 OAKVIEW LN, LONDON, KY 40741-8664
(224) 388-9328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
258519
—
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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