Individual
KATE TERESA O'BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
714 LYNDON LN STE 6, LOUISVILLE, KY 40222-4643
(502) 296-2205
Mailing address
1868 PRINCETON DR, LOUISVILLE, KY 40205-1855
(502) 296-2205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5129
KY
1041C0700X
Clinical Social Worker
Primary
5129
KY
Other
Enumeration date
01/25/2018
Last updated
01/13/2021
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