Individual
MARY L WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 SAINT MATTHEWS AVE, SUITE 17, LOUISVILLE, KY 40207-3145
(502) 897-8756
(502) 897-3867
Mailing address
161 SAINT MATTHEWS AVE, SUITE 17, LOUISVILLE, KY 40207-3145
(502) 897-8756
(502) 897-3867
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1273
KY
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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