Individual
TEAL HEWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 DAVENTRY LN STE 3, LOUISVILLE, KY 40223-2869
(502) 712-9604
Mailing address
12700 TOWNEPARK WAY STE 111, LOUISVILLE, KY 40243-2538
(859) 333-7803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256488
KY
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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