Individual
MARA ELIZABETH WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
728 FAULKNER AVE, LEXINGTON, KY 40505-1800
(859) 559-6759
Mailing address
1106 TUNNEL HILL RD STE 100, ELIZABETHTOWN, KY 42701-8026
(270) 765-2335
(270) 765-2557
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256833
KY
Other
Enumeration date
05/27/2022
Last updated
02/21/2023
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