Individual
SHERMEKA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6140
KY
Other
Enumeration date
10/24/2012
Last updated
01/08/2014
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