Individual
MS. MICHELLE L. LOUISVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5265
Mailing address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5265
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9965
FL
Other
Enumeration date
10/25/2010
Last updated
11/04/2010
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