Individual
JESSICA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
355 S BAYLY AVE APT A, LOUISVILLE, KY 40206-2574
(931) 808-6271
Mailing address
355 S BAYLY AVE APT A, LOUISVILLE, KY 40206-2574
(931) 808-6271
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252858
KY
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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