Individual
SHAMEKA K FRIDENSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8910
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
256245
KY
Other
Enumeration date
08/03/2015
Last updated
11/30/2021
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