Individual
ALEXIS MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 599-1488
Mailing address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 599-1488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW5089
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5089
LCSW
KY
Enumeration date
05/01/2018
Last updated
05/01/2018
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