Individual
MRS. KATIE R GANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
808 LYNDON LN STE 204, LOUISVILLE, KY 40222
(502) 314-2952
(502) 721-0321
Mailing address
4623 SHENANDOAH DR., LOUISVILLE, KY 40241
(502) 314-2952
(502) 721-0321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3956
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100326520
—
KY
Enumeration date
02/11/2014
Last updated
06/05/2020
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