MALCOLM BASIL BYRD

LOUISVILLE, KY
NPI1467125385
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  255631)
Enumeration Date2021-07-27
Last Update Date2022-04-27
Business Address
Mr. MALCOLM BASIL BYRD LCSW, CHES
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
Mailing Address
Mr. MALCOLM BASIL BYRD LCSW, CHES
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 502-953-4700