Individual
CONNIE SUE CABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 BELMONT AVE, SOMERSET, KY 42501
(606) 687-2038
(606) 200-3654
Mailing address
PO BOX 3044, WEST SOMERSET, KY 42564-3044
(606) 687-2038
(606) 200-3654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4046
KY
104100000X
Social Worker
6417
KY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100342280
—
KY
Enumeration date
01/14/2013
Last updated
08/04/2020
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