Individual
MR. PAUL MICHAEL BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1436 S SHELBY ST, LOUISVILLE, KY 40217-1107
(502) 694-3323
Mailing address
11707 CEDARDALE RD, LOUISVILLE, KY 40223-2309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252854
KY
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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