Kim Sego Tully, Lcsw, Psychotherapy Services
NPI #1811231897 in Elizabethtown, Kentucky
Provider Information
- NPI Number
- 1811231897
- Entity Type
- Organization
- Organization Name
- Kim Sego Tully, Lcsw, Psychotherapy Services
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 15, 2012
- Last Updated
- May 2, 2017
Practice Location
- Address
- 240 W DIXIE AVE
- Address 2
- SUITE 5-B
- City
- Elizabethtown
- State
- Kentucky
- ZIP Code
- 42701-1586
- Phone
- (270) 307-3672
Authorized Official
- Name
- KIMBERLY SEGO TULLY, LCSW
- Title
- SOLE MEMBER
- Phone
- (270) 307-3672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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