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Individual

JUDY SMITH WISMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPCC

Contact information

Practice address
11371 DECIMAL DR, LOUISVILLE, KY 40299-2445
(502) 267-0102
(502) 267-0620
Mailing address
11371 DECIMAL DR, LOUISVILLE, KY 40299-2445
(502) 267-0102
(502) 267-0620

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0632
KY
101YP2500X
Professional Counselor
841
NC

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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