Individual
MRS. MICHELLE LATONDRA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 S PRESTON ST, LOUISVILLE, KY 40202-1716
(502) 589-8600
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3410
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284300
—
KY
Enumeration date
03/05/2007
Last updated
03/19/2025
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