Individual
BRENDA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 271-4657
(502) 254-7906
Mailing address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 271-4657
(502) 254-7906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1038
KY
Other
Enumeration date
01/14/2014
Last updated
01/15/2014
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