Lucille Lee Mcmichael

NPI #1154569614 in Bowling Green, Kentucky

Provider Information

NPI Number: 1154569614
Entity Type: Organization
Organization Name: Lucille Lee Mcmichael
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 21, 2009
Last Updated: Jan 21, 2009

Practice Location

Address: 1830 DESTINY LN
Address 2: SUITE 112
City: Bowling Green
State: Kentucky
ZIP Code: 42104-1087
Phone: (270) 746-9995

Authorized Official

Name: LUCILLE LEE MCMICHAEL, LCSW
Title: OWNER
Phone: (270) 746-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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