Individual
MRS. SHAUN MARIE MCCREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2120 NEWBURG ROAD, SUITE 400, LOUISVILLE, KY 40205
(502) 451-2474
(502) 451-2474
Mailing address
2120 NEWBURG ROAD, SUITE 400, LOUISVILLE, KY 40205
(502) 451-2474
(502) 451-2474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
#527
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200030800
—
KY
Enumeration date
11/13/2006
Last updated
07/08/2007
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