Individual
MS. DIANA GORSUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
173 SEARS AVE, SUITE 269, LOUISVILLE, KY 40207-5062
(502) 718-1607
Mailing address
479 S 4TH ST, 6A, LOUISVILLE, KY 40208-5242
(502) 718-1607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
488
KY
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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