Individual
STACEY FOWLER RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5500 WOODCROSS PL, LOUISVILLE, KY 40229-2282
(502) 648-2166
Mailing address
5500 WOODCROSS PL, LOUISVILLE, KY 40229-2282
(502) 648-2166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1942
KY
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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