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Individual

MRS. SUSAN MANIS CALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,LMFT

Contact information

Practice address
2327 LIME KILN LN, LOUISVILLE, KY 40222-3422
(502) 429-0081
Mailing address
5107 LONG KNIFE RUN, LOUISVILLE, KY 40207-1179
(502) 895-5255
(502) 893-9031

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
552
KY

Other

Enumeration date
08/25/2006
Last updated
07/08/2007
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