Individual
KAIDA DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 S 4TH ST, LOUISVILLE, KY 40203-2115
(502) 873-4472
Mailing address
851 S 4TH ST, LOUISVILLE, KY 40203-2115
(502) 873-4472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
07/25/2024
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