Individual
JOAN CHARLENE LILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
501 DARBY CREEK RD STE 52, LEXINGTON, KY 40509-2610
(859) 539-0715
(859) 273-4767
Mailing address
4508 MANDEVILLE WAY, LEXINGTON, KY 40515-4735
(859) 539-0715
(859) 273-4767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1289
KY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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