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Individual

MS. LINDA A ENGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
214 BRECKENRIDGE LN, SUITE 107, LOUISVILLE, KY 40207-3868
(502) 899-9739
Mailing address
214 BRECKENRIDGE LN, SUITE 107, LOUISVILLE, KY 40207-3868
(502) 899-9739

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY599
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000309226
ANTHEM BL CROSS BL SHIELD
01
063363
VALUE OPTIONS
01
5296461
AETNA
01
KY599
SOCIAL WORK LICENSE
KY
Enumeration date
04/18/2007
Last updated
07/08/2007
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