Individual
MRS. MISTY GABRIELLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10300 BROOKRIDGE VILLAGE BLVD STE 104, LOUISVILLE, KY 40291-4474
(502) 259-8935
Mailing address
9417 MAGNOLIA RIDGE DR UNIT 103, LOUISVILLE, KY 40291-6785
(502) 259-8935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252994
KY
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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