Individual
NICOLE ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9702 STONESTREET RD, #110, LOUISVILLE, KY 40272-6808
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3662
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100290650
—
KY
Enumeration date
11/28/2011
Last updated
05/06/2015
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