Individual
MS. DONNA J PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
2520 BARDSTOWN RD, SUITE 8, LOUISVILLE, KY 40205-2672
(502) 693-5070
Mailing address
2520 BARDSTOWN RD, SUITE 8, LOUISVILLE, KY 40205-2672
(502) 693-5070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
33005888A
IN
1041C0700X
Clinical Social Worker
Primary
4052
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33005888A
LICENSED SOCIAL WORKER
IN
01
—
4052
LICENSED CLINICAL SOCIAL WORKER
KY
05
—
7100359060
—
KY
Enumeration date
12/07/2010
Last updated
12/07/2015
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