Individual
SHIVAUN NAFSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9870
Mailing address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255272
KY
Other
Enumeration date
04/03/2018
Last updated
04/17/2024
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