Individual
LINDA H WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 DAWKINS RD, LA GRANGE, KY 40031-8729
(502) 589-1100
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1096
KY
Other
Enumeration date
08/30/2006
Last updated
06/10/2009
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