Individual
MS. LEISHA STETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1574 MOCKINGBIRD DR, MURRAY, KY 42071-3280
(270) 978-5430
Mailing address
1574 MOCKINGBIRD DR, MURRAY, KY 42071-3280
(270) 978-5430
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
200174030
KY
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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