Individual
THEODORE M LINEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258812
KY
Other
Enumeration date
10/02/2023
Last updated
02/09/2024
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