Most Relevant Information
Provider Data
| NPI Number: | 1003564345 |
| Provider Name: | VANESSA ALLEN CSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 7276 |
Most Important Dates
| Enumeration Date: | 03/15/2022 |
| Last Updated: | 03/15/2022 |
Provider Practice Location
10300 BROOKRIDGE VILLAGE BLVD STE 104
LOUISVILLE
KY
402914474
Practice Location Phone/Fax
| Phone: | 5027854322 |
| Fax: |
Provider Mailing Location
9090 CEDAR GROVE RD
SHEPHERDSVILLE
KY
401658313
Provider Mailing Phone/Fax
| Phone: | 5024391050 |
| Fax: |