Individual
WILMA STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 DENNIS DR, LEXINGTON, KY 40503-2917
(859) 554-2090
(859) 226-5025
Mailing address
114 DENNIS DR, LEXINGTON, KY 40503-2917
(859) 554-2090
(859) 226-5025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252869
KY
1041C0700X
Clinical Social Worker
6928
KY
Other
Enumeration date
07/27/2015
Last updated
04/20/2018
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