Individual
SHANDA ALISON COOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
841 E CHESTNUT ST, LOUISVILLE, KY 40204-1014
(502) 561-1051
Mailing address
PO BOX 1927, LOUISVILLE, KY 40201-1927
(502) 637-4361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254446
KY
Other
Enumeration date
02/28/2012
Last updated
09/20/2019
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