Individual
JENNIFER BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1382 S 3RD ST, LOUISVILLE, KY 40208-2351
(502) 637-4361
(502) 637-4490
Mailing address
1382 S 3RD ST, LOUISVILLE, KY 40208-2351
(502) 637-4361
(502) 637-4490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4669
KY
Other
Enumeration date
03/05/2007
Last updated
10/09/2008
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