Individual
NAJMA Y NOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 S PRESTON ST, LOUISVILLE, KY 40202-1716
(502) 583-3951
(502) 581-9234
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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