Individual
MAMADOU FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1300 S 4TH ST, SUITE 240, LOUISVILLE, KY 40208-2314
(502) 650-3804
Mailing address
1300 S 4TH ST, SUITE 240, LOUISVILLE, KY 40208-2314
(502) 650-3804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1319
KY
Other
Enumeration date
12/30/2015
Last updated
04/26/2016
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