Individual
MRS. ALICIA GOLDEN CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 479-4287
Mailing address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 479-4287
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3215
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
05/24/2006
Last updated
11/28/2016
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