Individual
MRS. EILEEN-CAROL M DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 BELMONT AVE, STE 3, SOMERSET, KY 42501
(606) 677-0253
Mailing address
250 BELMONT AVE, STE 3, SOMERSET, KY 42501
(606) 677-0253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3764
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
11/07/2012
Last updated
07/21/2022
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