Individual
MS. STEPHANIE JO FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 DUPONT RD, LOUISVILLE, KY 40207-4611
(502) 899-6405
(502) 599-6407
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256358
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NONE AT THIS TIME
—
Enumeration date
11/07/2022
Last updated
05/31/2024
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