Individual
CHRISTINE MARIE TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4339 WINSTON AVE, COVINGTON, KY 41015
(859) 835-2573
Mailing address
4339 WINSTON AVE, COVINGTON, KY 41015-1739
(859) 835-2573
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
243233
KY
Other
Enumeration date
06/29/2006
Last updated
04/01/2019
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