Individual
AMY MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 BARDSTOWN RD STE 102, LOUISVILLE, KY 40205-1293
(502) 465-6766
Mailing address
PO BOX 4878, LOUISVILLE, KY 40204-0878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1667
KY
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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