Individual
MS. SHARON MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 E CHESTNUT ST, LOUISVILLE, KY 40202-5700
(505) 588-4238
Mailing address
501 E BROADWAY, SUITE 240, LOUISVILLE, KY 40202-1785
(502) 852-5201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1064
KY
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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