Individual
MARY ELISE SALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
539 BELLWOOD DR APT B, ELIZABETHTOWN, KY 42701-2337
(270) 312-2500
Mailing address
539 BELLWOOD DR APT B, ELIZABETHTOWN, KY 42701-2337
(270) 312-2500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
KY
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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