Individual
MRS. SHAWNA M WHITE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
3717 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1333
(502) 459-5292
(502) 459-5292
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3962
KY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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