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Individual

MRS. MARY H. TEVEBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3950 KRESGE WAY, LOUISVILLE, KY 40207-4637
(502) 896-7132
Mailing address
1822 KNOLLWOOD RD, LOUISVILLE, KY 40207-1767
(502) 896-7124

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-1408
KY

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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