Individual
TRACEY LIZABETH CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8135 NEW LAGRANGE ROAD, LOUISVILLE, KY 40222
(502) 254-7763
Mailing address
10000 WILLOW BROOK CIR, LOUISVILLE, KY 40223-3490
(502) 254-7763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L640
KY
Other
Enumeration date
07/09/2006
Last updated
06/17/2010
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