Individual
MRS. MARY RYAN HOSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
214 BRECKENRIDGE LN, SUITE 114, LOUISVILLE, KY 40207-3868
(502) 609-0197
(502) 327-7705
Mailing address
214 BRECKENRIDGE LN, SUITE 114, LOUISVILLE, KY 40207-3868
(502) 609-0197
(502) 327-7705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1002
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800013963
RAILROAD MEDICARE
KY
01
—
CK5471
RAILROAD MEDICARE
KY
Enumeration date
03/21/2006
Last updated
10/03/2010
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