Individual
MR. TODD JEFFREY DEDAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
700 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1643
(502) 581-1171
(502) 583-1991
Mailing address
646 EDITH RD, LOUISVILLE, KY 40206-2274
(502) 581-1171
(502) 583-1991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-1126
KY
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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