Individual
MRS. MARY ELLEN LASCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW, LCSW
Contact information
Practice address
214 BRECKENRIDGE LN, SUITE 114, LOUISVILLE, KY 40207-3868
(502) 640-6288
(502) 896-0765
Mailing address
4620 DEEPWOOD CT, LOUISVILLE, KY 40241-5802
(502) 742-2554
(502) 742-2853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1299
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7132
MOORE AND ASSOCIATES
KY
Enumeration date
03/27/2006
Last updated
07/08/2007
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