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Individual

MRS. CATHERINE ANN COURSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSSW

Contact information

Practice address
4211 POPLAR LEVEL RD STE 205, LOUISVILLE, KY 40213-1597
(502) 473-7028
(502) 688-6400
Mailing address
PO BOX 96, CHARLESTOWN, IN 47111-0096
(502) 473-7028
(502) 688-6400

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34001110A
IN
1041C0700X
Clinical Social Worker
Primary
KY0808
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000039741
ANTHEM
KY
01
044831
VALUE OPTIONS
01
090735
MANAGED HEALTH NETWORK
01
34001110A
CCSW
IN
01
35000535
CMFT LICENSE
IN
05
8200807
KY
01
HUKY0277
CORPHEALTH
KY
01
KY0808
KY LICENSE
KY
01
SWL 7942530
INSURANCE
KY
Enumeration date
12/29/2006
Last updated
02/05/2024
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