Individual
MS. MARY MARIE FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1501 BRECKENRIDGE ST, OWENSBORO, KY 42303-1054
(270) 686-7747
(270) 852-2941
Mailing address
1501 BRECKENRIDGE ST, OWENSBORO, KY 42303-1054
(270) 686-7747
(270) 852-2941
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
06/10/2016
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