Individual
GLENDA L ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-1100
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1354
KY
Other
Enumeration date
08/29/2006
Last updated
08/17/2016
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