Individual
MRS. MARY KINGSBURY GULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
1000 S 5TH ST, LOUISVILLE, KY 40203-3210
(502) 893-3900
(502) 882-9237
Mailing address
1000 S 5TH ST, LOUISVILLE, KY 40203-3210
(502) 882-5861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3946
KY
Other
Enumeration date
11/01/2011
Last updated
01/08/2015
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