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Individual

KANIKTRA STEADMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, LSW

Contact information

Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-4513
Mailing address
406 COUNTRY ACRES UNIT 1, LOUISVILLE, KY 40218-4056

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
KY3412
KY

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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