TIA AILEEN NICHOLAS PANK

LOUISVILLE, KY
NPI1447142971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  260211)
Enumeration Date2025-07-18
Last Update Date2025-07-18
Business Address
TIA AILEEN NICHOLAS PANK CSW
8134 NEW LA GRANGE RD STE 100
LOUISVILLE, KY 40222-4677
Phone number: 502-472-7293
Mailing Address
TIA AILEEN NICHOLAS PANK CSW
8134 NEW LA GRANGE RD STE 100
LOUISVILLE, KY 40222-4677
Phone number: 502-472-7293
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