Individual
MR. MICHAEL L. WARDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT
Contact information
Practice address
332 W BROADWAY STE 902, LOUISVILLE, KY 40202
(502) 589-8009
Mailing address
11527 TOP WALNUT LOOP, LOUISVILLE, KY 40229-2488
(502) 387-3415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-994
KY
106H00000X
Marriage & Family Therapist
KY-0364
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82009945
—
KY
Enumeration date
03/26/2007
Last updated
06/21/2018
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