Individual
MS. JODIE DENISE TINGLE-WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
343 W KENWOOD WAY, LOUISVILLE, KY 40214-2127
(502) 644-5796
Mailing address
343 W KENWOOD WAY, LOUISVILLE, KY 40214-2127
(502) 644-5796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3073
KY
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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