Individual
TAMARA KAY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6452 W HIGHWAY 146, CRESTWOOD, KY 40014-9575
(023) 383-6535
Mailing address
6452 W HIGHWAY 146, CRESTWOOD, KY 40014-9575
(502) 338-3653
(502) 540-3070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-1940
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12385425
CAQH
KY
01
—
KY-1940
STATE LICENSE
KY
Enumeration date
10/21/2008
Last updated
06/19/2023
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