Individual
MRS. STACEY NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2815 HOOCK AVE, LOUISVILLE, KY 40205-2913
(502) 608-1842
Mailing address
2815 HOOCK AVE, LOUISVILLE, KY 40205
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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