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Organization

CASSADY D COBB LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASSADY COBB LCSW (OWNER)
(270) 234-6695
Entity
Organization

Contact information

Practice address
970 BLOOMFIELD RD, BARDSTOWN, KY 40004-9708
(270) 234-6695
Mailing address
PO BOX 1429, BARDSTOWN, KY 40004-4429
(502) 331-6296
(502) 331-6062

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
KY
Enumeration date
08/29/2017
Last updated
05/07/2019
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