Individual
SARAH ELIZABETH WILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4211 POPLAR LEVEL RD STE 103, LOUISVILLE, KY 40213-1527
(502) 694-0042
Mailing address
4211 POPLAR LEVEL RD STE 103, LOUISVILLE, KY 40213-1527
(502) 694-0042
(502) 305-2123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252611
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100464080
—
KY
Enumeration date
08/18/2014
Last updated
02/06/2021
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