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Individual

EZRA JESSE MCCAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
2518 FRANKFORT AVE, LOUISVILLE, KY 40206-2530
(502) 354-2699
Mailing address
2518 FRANKFORT AVE, LOUISVILLE, KY 40206-2530
(502) 354-2699

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW00001130
KY

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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