Individual
AMANDA DENISE BODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
411 E CHESTNUT ST # 4B, LOUISVILLE, KY 40202-1713
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255216
KY
Other
Enumeration date
11/13/2020
Last updated
07/14/2021
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