Individual
THEODRICK HERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
501 DARBY CREEK RD STE 7, LEXINGTON, KY 40509-1605
(859) 227-2337
(859) 268-2472
Mailing address
501 DARBY CREEK RD STE 7, LEXINGTON, KY 40509-1605
(859) 227-2337
(859) 268-2472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252541
KY
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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