Individual
MRS. TARA HADDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 451-3330
Mailing address
PO BOX 2587, LOUISVILLE, KY 40201-2587
(502) 451-3330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-3513
KY
Other
Enumeration date
06/18/2007
Last updated
02/20/2012
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