Individual
LISA CAROL CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
236 BRIDGETT DR, MT STERLING, KY 40353-1601
(859) 498-7111
Mailing address
1665 LITTLE HARDWICKS CREEK RD, CLAY CITY, KY 40312-9652
(859) 230-5957
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61-0723605
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
10/31/2014
Last updated
09/17/2025
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