Organization
AMANDA T PAUL, LCSW, MT-BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA THOMASON PAUL LCSW, MT-BC (LICENSED CLINICAL SOCIAL WORKER)
(502) 640-3940
Entity
Organization
Contact information
Practice address
4523 GREYMONT DR, LOUISVILLE, KY 40229-3588
(502) 640-3940
Mailing address
4523 GREYMONT DR, LOUISVILLE, KY 40229-3588
(502) 640-3940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3813
KY
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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