Individual
WHITNEY VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 S SPRING ST, LOUISVILLE, KY 40206-1952
(502) 338-0747
Mailing address
109 S SPRING ST, LOUISVILLE, KY 40206-1952
(502) 338-0747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256789
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100871000
—
KY
Enumeration date
05/17/2022
Last updated
01/19/2023
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