Individual
RAEANN STENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 BAXTER AVE, LOUISVILLE, KY 40204-1154
(502) 694-9488
Mailing address
4519 S 1ST ST, LOUISVILLE, KY 40214-1905
(502) 500-6292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
258365
KY
Other
Enumeration date
07/11/2023
Last updated
10/01/2024
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