Individual
PATRICIA L GOSNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6200 CRESTWOOD STA, SUITE B, CRESTWOOD, KY 40014-7418
(502) 807-8187
(502) 241-7825
Mailing address
1608 WHITTAKER RD, CRESTWOOD, KY 40014-9626
(502) 807-8187
(502) 241-7825
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1850
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1850
LCSW
KY
Enumeration date
09/06/2006
Last updated
01/17/2012
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