Individual
AMY MARIE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
(502) 776-1133
Mailing address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
(502) 776-1133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100563550
—
KY
Enumeration date
11/12/2012
Last updated
08/28/2019
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