Individual
MISTY DAWN GITTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203
(502) 585-9444
(502) 589-4489
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203
(502) 585-9444
(502) 589-4489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
254157
KY
1041C0700X
Clinical Social Worker
Primary
256240
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/28/2013
Last updated
11/18/2021
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