Individual
SHANNON LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1347 S 3RD ST, SUITE 200, LOUISVILLE, KY 40208-3306
(502) 741-0530
Mailing address
1018 MARSHALL ST, LOUISVILLE, KY 40204-1039
(502) 741-0530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252330
KY
Other
Enumeration date
12/05/2016
Last updated
01/05/2017
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