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1003548546
KENNETH EDWARD WILSON
LEXINGTON, KY
NPI
1003548546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY KY3754)
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
KENNETH EDWARD WILSON LCSW
2250 LEESTOWN RD
LEXINGTON, KY 40511-1052
Phone number: 859-233-4511
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Mailing Address
KENNETH EDWARD WILSON LCSW
3511 BROOKVIEW DR
LEXINGTON, KY 40517-1405
Phone number: 859-684-2170
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