Individual
MARIA E TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E BROADWAY, 2ND FLOOR, LOUISVILLE, KY 40204-1037
(502) 589-8600
(502) 589-8771
Mailing address
101 W. MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1711
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284620
—
KY
Enumeration date
09/25/2006
Last updated
03/05/2015
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