Individual
MRS. REBECCA LEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
560B S. FOURTH STREET, LOUISVILLE, KY 40202
(502) 584-8505
(502) 584-6412
Mailing address
106 BLOSSOM CR., SHELBYVILLE, KY 40065
(502) 647-3301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1756
KY
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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