Individual
ZACHARY MOCKBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
4339 WINSTON AVE, COVINGTON, KY 41015-1739
(859) 835-2573
Mailing address
4339 WINSTON AVE, COVINGTON, KY 41015-1739
(859) 835-2573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255514
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
04/23/2014
Last updated
04/20/2021
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