BETHANY LACK

BOWLING GREEN, KY
NPI1386266278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  6100)
Enumeration Date2020-05-13
Last Update Date2020-05-13
Business Address
BETHANY LACK CSW
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101-1202
Phone number: 270-904-0055
Mailing Address
BETHANY LACK CSW
1990 LOUISVILLE RD STE 107
BOWLING GREEN, KY 42101-1202
Phone number: 270-904-0055
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