Individual
KIM L WADLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1382 S 3RD ST, LOUISVILLE, KY 40208-2351
(502) 637-4361
(502) 587-7145
Mailing address
1382 S 3RD ST, LOUISVILLE, KY 40208-2351
(502) 637-4361
(502) 587-7145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0704
KY
1041C0700X
Clinical Social Worker
776
KY
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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