Individual
WESLEY MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1100 S 3RD ST, LOUISVILLE, KY 40203-2902
(502) 654-8255
Mailing address
1400 MAIN ST UNIT 172, CLARKSVILLE, IN 47129-3108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258155
KY
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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