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Individual

AMY G PICKLESIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
204 E MARKET ST, LOUISVILLE, KY 40202-1218
(502) 588-4340
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0850
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82008509
KY
Enumeration date
02/24/2011
Last updated
10/21/2020
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