GLENNESHA MUDD

LOUISVILLE, KY
NPI1568901601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  254825)
Additional Taxonomies104100000X Social Worker
(Licence: KY  252393)
1041C0700X Social Worker, Clinical
(Licence: IN  34009273A)
Enumeration Date2017-02-22
Last Update Date2023-01-20
Business Address
GLENNESHA MUDD CSW
411 E CHESTNUT ST # 5B
LOUISVILLE, KY 40202-1713
Phone number: 502-588-2330
Mailing Address
GLENNESHA MUDD CSW
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490