Individual
MRS. MARTHA PRATER DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW,LCSW
Contact information
Practice address
223 MARSHALL DR, LOUISVILLE, KY 40207-3427
(502) 894-8854
Mailing address
223 MARSHALL DR, LOUISVILLE, KY 40207-3427
(502) 894-8854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
577
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NOT APPLICABLE
NOT APPLICABLE
—
Enumeration date
11/15/2011
Last updated
11/15/2011
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