Individual
KHADISHA TELEMAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 852-5825
Mailing address
555 S FLOYD ST, LOUISVILLE, KY 40202-3822
(502) 852-5825
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1156219
KY
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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