Individual
MRS. JESSICA NICOLE DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SPRING AVE, BEDFORD, KY 40006-1119
(502) 221-5365
Mailing address
19 SPRING AVE, BEDFORD, KY 40006-1119
(502) 221-5365
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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