Individual
STEPHANIE MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 589-8600
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3682
KY
Other
Enumeration date
06/07/2007
Last updated
05/06/2015
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