Individual
MRS. JESSICA RENEE PANICCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8134 NEW LAGRANGE RD, SUITE 100, LOUSIVILLE, KY 40222
(502) 830-9276
(502) 690-4500
Mailing address
8134 NEW LAGRANGE RD, SUITE 100, LOUSIVILLE, KY 40222
(502) 830-9276
(502) 690-4500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
257123
KY
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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