Organization
LIL CUTIA ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GAIL HALL (CREDENTIALING AGENT)
(502) 774-0671
Entity
Organization
Contact information
Practice address
1347 S 3RD ST STE 204, LOUISVILLE, KY 40208-2344
(502) 640-6137
(502) 237-4092
Mailing address
1347 S 3RD ST STE 204, LOUISVILLE, KY 40208-2344
(502) 640-6137
(502) 237-4092
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
05/09/2024
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