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1740717164
THEODRICK HERSEY
LEXINGTON, KY
NPI
1740717164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 252541)
Enumeration Date
2017-05-16
Last Update Date
2017-05-16
Business Address
THEODRICK HERSEY LCSW
501 DARBY CREEK RD STE 7
LEXINGTON, KY 40509-1605
Phone number: 859-227-2337
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Mailing Address
THEODRICK HERSEY LCSW
501 DARBY CREEK RD STE 7
LEXINGTON, KY 40509-1605
Phone number: 859-227-2337
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