Individual
MRS. HOLLY SUMNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8134 NEW LA GRANGE RD STE 100, LOUISVILLE, KY 40222-4677
(502) 767-0415
Mailing address
900 BEASLEY ST STE 120, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5016
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100366280
—
KY
Enumeration date
11/14/2013
Last updated
07/16/2021
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