Individual
BONNIE SUE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
535 W 2ND ST, SUITE 207, LEXINGTON, KY 40508-9002
(859) 255-4864
Mailing address
3848 WADDY RD, WADDY, KY 40076-6062
(859) 514-7310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-689
KY
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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