Individual
LAURA G AZAHAR VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 636-2084
Mailing address
111 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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