Individual
KIRBY LASHAY VAN LIEROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 DUPONT RD, LOUISVILLE, KY 40207-4611
(502) 899-6405
(502) 599-6407
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100797880
—
KY
Enumeration date
02/08/2022
Last updated
06/11/2024
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