Individual
BONNIE SWICEGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8013 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4700
(502) 817-8675
(502) 429-6562
Mailing address
8013 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4700
(502) 817-8675
(502) 429-6562
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522137
ANTHEM
KY
Enumeration date
05/16/2007
Last updated
05/14/2008
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