Thompson Clinical Practice, Llc | |
2716 Old Rosebud Rd Suite 210 Lexington KY 40509-8008 | |
(859) 963-9010 | |
(859) 963-9055 |
Full Name | Thompson Clinical Practice, Llc |
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Speciality | Social Worker - Clinical |
Location | 2716 Old Rosebud Rd, Lexington, Kentucky |
Authorized Official Name and Position | Rhonda Kaye Daniel (OWNER/MANAGER) |
Authorized Official Contact | 8599639010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thompson Clinical Practice, Llc 2716 Old Rosebud Rd Suite 210 Lexington KY 40509-8008 Ph: (859) 963-9010 | Thompson Clinical Practice, Llc 2716 Old Rosebud Rd Suite 210 Lexington KY 40509-8008 Ph: (859) 963-9010 |
NPI Number | 1245532209 |
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Provider Enumeration Date | 11/24/2010 |
Last Update Date | 09/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245532209 | NPI | - | NPPES |
1376698811 | Other | KY | NPI 1-INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1670 (Kentucky) | Primary |
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