Individual
KRISTEN G JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 953-4700
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
11/12/2020
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