Individual
AMY HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4010 DUPONT CIR, SUITE 582, LOUISVILLE, KY 40207-4812
(502) 899-5411
(502) 899-5411
Mailing address
2713 SHIPPEN AVE, LOUISVILLE, KY 40206-2321
(720) 203-1458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252915
KY
Other
Enumeration date
11/20/2015
Last updated
04/13/2018
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