Individual
STACY L MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
914 E BROADWAY, SUITE 279, LOUISVILLE, KY 40204-1037
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, HUMAN RESOURCES, LOUISVILLE, KY 40202-1423
(502) 589-1100
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1701
KY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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