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Individual

MS. CONNIE HAXBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
125 CHENOWETH LN, SUITE 111, LOUISVILLE, KY 40207-2641
(502) 439-5323
(502) 415-7152
Mailing address
125 CHENOWETH LN, SUITE 111, LOUISVILLE, KY 40207-2641
(502) 439-5323
(502) 415-7152

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3597
KY

Other

Enumeration date
01/25/2012
Last updated
02/01/2012
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