Individual
MRS. DOROTHY JEAN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(270) 300-6355
Mailing address
241 ROLLING HILLS RD, VINE GROVE, KY 40175-6053
(270) 300-6355
(502) 624-9549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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