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Individual

MRS. JENNIFER MARIE TRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
316 DYLAN CT, RICHMOND, KY 40475-8176
(859) 200-8209
Mailing address
316 DYLAN CT, RICHMOND, KY 40475-8176
(859) 200-8209

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000079113
KY

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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