Individual
JACEY GRACE STANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9913 SHELBYVILLE RD, LOUISVILLE, KY 40223-2902
(502) 377-3000
Mailing address
2333 LOWER HUNTERS TRCE, LOUISVILLE, KY 40216-1360
(502) 377-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258685
KY
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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