Provider Information for 1801496468
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Mrs. MONICA R DUSHANE LCSW
Sex: Female
NPI: 1801496468
Last Updated: 2025-02-10
Certification Date: 2025-02-10
Certification Date: 2025-02-10
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1801496468 | |||||||||||||||||||||
| Enumeration Date | 2020-10-31 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | YES | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | PO BOX 776351 CHICAGO, IL 60677-6351 United States Phone: 502-559-9493 | Fax:502-272-5339 | |||||||||||||||||||||
| Primary Practice Address | 4915 NORTON HEALTHCARE BLVD STE 301 LOUISVILLE, KY 40241-2866 United States Phone: 502-394-6460 | Fax:502-394-6465 | |||||||||||||||||||||
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