Individual
AMANDA THOMASON PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MT-BC
Contact information
Practice address
4523 GREYMONT DR, LOUISVILLE, KY 40229-3588
(502) 640-3940
Mailing address
189 ADAM SHEPHERD PKWY STE 17, SHEPHERDSVILLE, KY 40165-6579
(502) 640-3940
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3813
KY
1041C0700X
Clinical Social Worker
5428
KY
Other
Enumeration date
02/16/2009
Last updated
03/17/2018
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