Individual
CHERRY BROOKE KINCHELOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1031 WELLINGTON WAY STE 265, LEXINGTON, KY 40513-1256
(859) 229-8222
Mailing address
633 BETH LN, LEXINGTON, KY 40503-3416
(502) 594-3715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255113
KY
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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