Individual
MRS. SHEMIKA LESHIA WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(502) 208-9294
Mailing address
3934 DIXIE HWY STE 350, LOUISVILLE, KY 40216-4163
(502) 830-9460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
253012
KY
1041C0700X
Clinical Social Worker
Primary
258611
KY
Other
Enumeration date
05/23/2023
Last updated
01/18/2024
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