Individual
SAMANTHA DEAN SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 CHRYSALIS CT, LEXINGTON, KY 40508-2604
(859) 243-0972
(859) 254-1418
Mailing address
120 CHRYSALIS CT, LEXINGTON, KY 40508-2604
(859) 243-0972
(859) 254-1418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7363
KY
1041C0700X
Clinical Social Worker
Primary
252897
KY
Other
Enumeration date
12/14/2015
Last updated
09/19/2017
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