Individual
ALICE TAYLOR PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
118 OLD LAFAYETTE AVE, LEXINGTON, KY 40502-1998
(859) 687-7007
Mailing address
118 OLD LAFAYETTE AVE, LEXINGTON, KY 40502-1998
(859) 687-7007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258279
KY
Other
Enumeration date
11/13/2023
Last updated
12/01/2023
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