Individual
ANGELA R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 587-8833
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259486
KY
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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