Individual
MEGAN J SPIVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4710 CHAMPIONS TRACE LN, LOUISVILLE, KY 40218-3495
(502) 454-6343
Mailing address
10101 LINN STATION RD, LOUISVILLE, KY 40223-3848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253685
KY
Other
Enumeration date
07/10/2013
Last updated
11/02/2018
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