Individual
MISS SOPHIE GABRIELA ROUTT AMAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
315 TOWNEPARK CIR, LOUISVILLE, KY 40243-2338
(859) 436-8381
Mailing address
315 TOWNEPARK CIR, LOUISVILLE, KY 40243-2338
(859) 436-8381
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
11/26/2024
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