Individual
KATHLEEN M DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW
Contact information
Practice address
842 RIDGEPOINT DR, INDEPENDENCE, KY 41051-8389
(859) 803-5659
Mailing address
842 RIDGEPOINT DR, INDEPENDENCE, KY 41051-8389
(859) 803-5659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253895
KY
1041C0700X
Clinical Social Worker
I10019-SUPV
OH
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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