Individual
ELIZABETH CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 FIELD AVE, LOUISVILLE, KY 40206-1529
(502) 893-3582
Mailing address
2811 FIELD AVE, LOUISVILLE, KY 40206-1529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5434
KY
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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