Individual
JENNI LEA GARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8771
Mailing address
1935 BLUEGRASS AVE, LOUISVILLE, KY 40215-1145
(502) 589-1100
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2045
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100283330
—
KY
Enumeration date
07/22/2006
Last updated
03/05/2015
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