Leonard a Clark Lcsw Psc

NPI #1164086013 in Lexington, Kentucky

Provider Information

NPI Number
1164086013
Entity Type
Organization
Organization Name
Leonard a Clark Lcsw Psc
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Apr 25, 2019
Last Updated
Apr 25, 2019

Practice Location

Address
200 W LOWRY LN
ZIP Code
40503-3019
Phone
(859) 229-8160

Authorized Official

Name
LARISA YASHCHENKO
Title
AUTHORIZED REPRESENTATIVE
Phone
(502) 509-6679

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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