Individual
MRS. JACQUELINE SUSAN SPAULDING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4013 OLD OUTER LOOP, LOUISVILLE, KY 40219-3132
(502) 741-3980
(502) 966-5114
Mailing address
4013 OLD OUTER LOOP, LOUISVILLE, KY 40219-3132
(502) 741-3980
(502) 966-5114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1407
KY
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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