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Individual

MARILYN LUCILLE SAILS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
161 BRUCE ST, LEXINGTON, KY 40507-1239
(859) 288-2425
(859) 721-3918
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 721-3918

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
253920
KY
1041C0700X
Clinical Social Worker
253920
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100605530
KY
Enumeration date
05/20/2019
Last updated
10/09/2019
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