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Individual

MADELINE MULDOON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LCADC

Contact information

Practice address
1931 FRANKFORT AVE, LOUISVILLE, KY 40206
(502) 644-2346
Mailing address
1226 BELMAR DR, LOUISVILLE, KY 40213-1757
(502) 644-2346

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
241341
KY
1041C0700X
Clinical Social Worker
Primary
254414
KY
1041C0700X
Clinical Social Worker
99087141A
IN

Other

Enumeration date
06/28/2018
Last updated
10/11/2019
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