Individual
MRS. PEGGY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
914 E BROADWAY, 2ND FLOOR, LOUISVILLE, KY 40204-1037
(502) 589-8731
(502) 589-8097
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3685
KY
106H00000X
Marriage & Family Therapist
0806
KY
Other
Enumeration date
10/20/2009
Last updated
09/04/2012
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