Individual
SHANAE R MINNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 EASTERN PKWY STE 3364, LOUISVILLE, KY 40217-1415
(502) 813-8280
Mailing address
1169 EASTERN PKWY STE 3364, LOUISVILLE, KY 40217-1415
(502) 813-8280
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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