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Individual

STACY LYNN THURMAN BORAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17114 SHAKES CREEK DR, FISHERVILLE, KY 40023-7790
(502) 876-6789
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
295909
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001712
KY

Other

Enumeration date
10/28/2021
Last updated
07/29/2026
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