Individual
CHEYENNE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3316 BRECKENRIDGE LN, LOUISVILLE, KY 40220-3214
(859) 539-5281
Mailing address
3316 BRECKENRIDGE LN, LOUISVILLE, KY 40220-3214
(859) 539-5281
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001506
KY
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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