Individual
ELYSIA WILLIAMS BURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
411 E CHESTNUT ST # 5A6B, LOUISVILLE, KY 40202-1713
(502) 588-4940
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3634
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
07/23/2009
Last updated
03/27/2024
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