Individual
ANDREA BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4820 GREENVALE CIR, LOUISVILLE, KY 40272-3181
(502) 457-6985
Mailing address
4820 GREENVALE CIR, LOUISVILLE, KY 40272-3181
(502) 457-6985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700X
KY
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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