Individual
CHRISTINA MARTYNE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10101 LINN STATION RD, LOUISVILLE, KY 40223-3848
(502) 589-8600
(502) 287-0062
Mailing address
10101 LINN STATION RD, LOUISVILLE, KY 40223-3848
(502) 589-8600
(502) 287-0062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253507
KY
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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