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1083709976
CHARLES DAVID MEDLEY
LEXINGTON, KY
NPI
1083709976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 144)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- CHARLES DAVID MEDLEY LCSW
3150 CUSTER DR. SUITE203
LEXINGTON, KY 40517
Phone number: 859-271-7788
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Mailing Address
-- CHARLES DAVID MEDLEY LCSW
3150 CUSTER DR. SUITE203
LEXINGTON, KY 40517
Phone number: 859-271-7788
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