Individual
MARIAH C CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 JOE B HALL AVE, SHEPHERDSVILLE, KY 40165
(502) 955-5447
(502) 955-7036
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258373
KY
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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