Individual
MELANIE SUE HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 852-6941
(502) 852-1055
Mailing address
401 E CHESTNUT ST, STE 600, LOUISVILLE, KY 40202-5700
(502) 813-6655
(502) 813-6665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3233
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12112999
CAQH
KY
01
—
3233
KENTUCKY BOARD OF SOCIAL WORK
KY
Enumeration date
07/08/2010
Last updated
09/15/2010
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