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Individual

MICHELLE NEVELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
106 BELINDA BLVD STE 100, DANVILLE, KY 40422-3217
(859) 439-0340
Mailing address
106 BELINDA BLVD STE 100, DANVILLE, KY 40422-3217

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7243
KY
1041C0700X
Clinical Social Worker
Primary
254395
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
01/31/2017
Last updated
09/07/2019
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