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General NPI Number Information
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NPI Number | 1982661732
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Entity Type | Individual
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Provider Name | JOY D. LEET-MULLINS MS, LCSW, DCSW
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1910 GARDEN SPRINGS DR STE 160
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City | LEXINGTON
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State | KY
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Zip | 40504-3629
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Country | US
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Telephone | 859-224-4062
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Fax | 859-276-0707
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Provider Business Mailing Address
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Address Line | 1401 COPPER GLEN DR
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City | LEXINGTON
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State | KY
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Zip | 40514-1299
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Country | US
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Telephone | 859-224-4062
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Fax | 859-276-0707
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1433
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License Number State | KY
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