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Individual

MR. GREGORY SCOTT KIESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
4010 DUPONT CIR STE 582, LOUISVILLE, KY 40207-4888
(502) 899-5411
Mailing address
4010 DUPONT CIR STE 582, LOUISVILLE, KY 40207-4888
(502) 899-5411

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252716
KY

Other

Enumeration date
07/07/2017
Last updated
07/21/2022
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