Individual
MRS. KELLY ANN MARIE PULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
1100 E MARKET ST, LOUISVILLE, KY 40206-1838
(502) 596-1217
Mailing address
2411 BRANNING RD, LOUISVILLE, KY 40222-6228
(502) 802-5205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5827
KY
1041C0700X
Clinical Social Worker
Primary
3745
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100303920
—
KY
Enumeration date
09/22/2010
Last updated
03/17/2018
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