Individual
TELA MARIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
900 BEASLEY ST, #120, LEXINGTON, KY 40509-4266
(859) 254-1035
Mailing address
2111 LANSILL RD, APT. B20, LEXINGTON, KY 40504-3053
(859) 559-6418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252480
KY
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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