Individual
PHYLLIS D WESTRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 GARDINER LN, SUITE 314, LOUISVILLE, KY 40205-2962
(502) 473-8547
(502) 589-8771
Mailing address
2100 GARDINER LN, SUITE 314, LOUISVILLE, KY 40205-2962
(502) 473-8547
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1004
KY
1041C0700X
Clinical Social Worker
Primary
1004
KY
Other
Enumeration date
08/30/2006
Last updated
06/10/2009
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