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1467125385
MALCOLM BASIL BYRD
LOUISVILLE, KY
NPI
1467125385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 255631)
Enumeration Date
2021-07-27
Last Update Date
2022-04-27
Business Address
Mr. MALCOLM BASIL BYRD LCSW, CHES
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
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Mailing Address
Mr. MALCOLM BASIL BYRD LCSW, CHES
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 502-953-4700
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