Individual
CLARISSA NICOLE MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1904 EASTERN PARKWAY, LOUISVILLE, KY 40204
(502) 694-9488
Mailing address
1904 EASTERN PKWY, LOUISVILLE, KY 40204-1452
(502) 694-9488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
257765
KY
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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