Individual
TIA MARIE CONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1948 GOLDSMITH LN, STE 103, LOUISVILLE, KY 40218
(502) 221-7892
Mailing address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(502) 221-7892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254863
KY
Other
Enumeration date
01/31/2017
Last updated
10/15/2023
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