MINA RAE THEVENIN

LOUISVILLE, KY
NPI1467473488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  1947)
Enumeration Date2006-07-23
Last Update Date2007-07-08
Business Address
Ms. MINA RAE THEVENIN LCSW
8521 LAGRANGE RD
LOUISVILLE, KY 40242-3800
Phone number: 502-814-3721
Mailing Address
Ms. MINA RAE THEVENIN LCSW
P.O. BOX 221083
LOUISVILLE, KY 40241
Phone number: 502-814-3721
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