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Individual

EMILY MOSELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
245 FOUNTAIN CT STE 225, LEXINGTON, KY 40509-2794
(859) 323-6021
(859) 323-1670
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 253-1686

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
255794
KY
1041C0700X
Clinical Social Worker
Primary
258195
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
06/29/2021
Last updated
11/10/2023
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