Individual
KEISHA KULANA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2520 BARDSTOWN RD, SUITE 8, LOUISVILLE, KY 40205-2672
(502) 526-1811
Mailing address
PO BOX 34292, LOUISVILLE, KY 40232-4292
(502) 526-1811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3635
KY
Other
Enumeration date
04/08/2010
Last updated
08/31/2013
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