Provider Information for 1245200351
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Dr. JOHN COWAN WARNER LCSW
Sex: Male
NPI: 1245200351
Last Updated: 2015-04-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1245200351 | ||||||||
| Enumeration Date | 2006-01-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 101 W MUHAMMAD ALI BLVD LOUISVILLE, KY 40202-1423 United States Phone: 502-589-8600 | Fax: | ||||||||
| Primary Practice Address | 9702 STONESTREET RD LOUISVILLE, KY 40272-6808 United States Phone: 502-589-8600 | Fax: | ||||||||
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