Individual
CYNTHIA D FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2108 BARDSTOWN RD, LOUISVILLE, KY 40205-1985
(502) 819-6734
(502) 371-6377
Mailing address
1405 JUNIPER DR, # 3, LOUISVILLE, KY 40222-7891
(502) 819-6734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3922
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100408720
—
KY
Enumeration date
09/03/2014
Last updated
12/28/2020
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