Organization
TERESA BOYD STRADER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA STRADER L.C.S.W. (OWNER)
(502) 693-5232
Entity
Organization
Contact information
Practice address
303 MIDDLETOWN PARK PL STE H, LOUISVILLE, KY 40243-2516
(866) 498-1974
Mailing address
1711 NAT ROGERS RD, NEW HAVEN, KY 40051-5047
(502) 693-5232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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