Individual
MS. IRENE NAGARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5038 WOLFPEN WOODS DR, PROSPECT, KY 40059-9196
(502) 403-9711
Mailing address
5038 WOLFPEN WOODS DR, PROSPECT, KY 40059-9196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3928
KY
Other
Enumeration date
01/24/2018
Last updated
11/10/2020
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