Individual
MARY FIELDS-LEVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-S
Contact information
Practice address
7000 HOUSTON RD, SUITE 29, FLORENCE, KY 41042-4873
(859) 746-9272
(859) 746-9322
Mailing address
7000 HOUSTON RD, SUITE 29, FLORENCE, KY 41042-4873
(859) 746-9272
(859) 746-9322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252410
KY
1041C0700X
Clinical Social Worker
I.1501250
OH
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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