Individual
JENNIFER LEIGH BOBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8401 SHELBYVILLE RD, SUITE 206, LOUISVILLE, KY 40222-5586
(502) 558-3811
Mailing address
1066 E KENTUCKY ST, LOUISVILLE, KY 40204-1936
(502) 558-3811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3335
KY
Other
Enumeration date
09/14/2009
Last updated
07/25/2012
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