Individual
JOSHUA ERIC SWETNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
161 WEISSER AVE, LOUISVILLE, KY 40206-2761
(502) 494-1669
Mailing address
161 WEISSER AVE, LOUISVILLE, KY 40206-2761
(502) 494-1669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2083
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12696055
CAQH
KY
05
—
7100287140
—
KY
Enumeration date
12/31/2009
Last updated
01/01/2016
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