Individual
JAYNE POWELL BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5743 PRESTON HWY, LOUISVILLE, KY 40219-1305
(502) 444-6008
(502) 586-7173
Mailing address
PO BOX 740017, ATLANTA, GA 30374-0017
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258986
KY
Other
Enumeration date
04/29/2024
Last updated
05/23/2024
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