Charles David Medley LCSW

NPI 1083709976 - Social Worker - 1041C0700X

NPI Details
NPI 1083709976
Gender Male
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3150 CUSTER DR.
SUITE203
LEXINGTON KY, 40517, US
Phone (859) 271-7788
Fax (859) 273-3306
Business Location
3150 CUSTER DR.
SUITE203
LEXINGTON KY, 40517, US
Phone (859) 271-7788
Fax (859) 273-3306
Toxanomy
Taxonomy Code 1041C0700X
License State Kentucky
License Number 144
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According to our database, Charles David Medley LCSW NPI is 1083709976, taxonomy code is 1041C0700X and license number is 144, license state is located at Kentucky. Charles David Medley LCSW physically located at 3150 Custer Dr., Lexington KY, 40517. NPI Number Charles David Medley LCSW has the Individual type.

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1083709976 NPI number is provided on an as is basis without warranty of any kind. 1083709976 is maintained by the National Plan & Provider Enumeration System. The contents of Charles David Medley LCSW are for informational purposes only.