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Individual

MR. HENRY A CECIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
70 SAYRE DR, MAYFIELD, KY 42066-1970
(270) 970-1624
Mailing address
70 SAYRE DR, MAYFIELD, KY 42066-1970
(270) 970-1624

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1246
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KY-1246
LCSW
KY
Enumeration date
01/12/2007
Last updated
01/05/2020
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