Individual
JAMES KEITH NEEDLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3906 DUPONT SQ S, LOUISVILLE, KY 40207-4647
(502) 893-6654
(502) 893-0000
Mailing address
527 CAMP ST, LOUISVILLE, KY 40203-2634
(502) 637-6345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1880
KY
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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