Individual
TONYA RENEE PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
861 CORPORATE DR STE 101, LEXINGTON, KY 40503-5461
(859) 971-2585
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
253170
KY
1041C0700X
Clinical Social Worker
Primary
255536
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253170
CSW
KY
Enumeration date
03/22/2018
Last updated
04/06/2021
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