Most Relevant Information
Provider Data
| NPI Number: | 1003647660 |
| Provider Name: | MARY O'SHEA MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 3436 |
Most Important Dates
| Enumeration Date: | 08/13/2024 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
1169 EASTERN PKWY STE 1166
LOUISVILLE
KY
402171439
Practice Location Phone/Fax
| Phone: | 5024518262 |
| Fax: |
Provider Mailing Location
2913 HOMEWOOD PL
LOUISVILLE
KY
402412901
Provider Mailing Phone/Fax
| Phone: | 5024243670 |
| Fax: |