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Individual

KATHE ELIZABETH VAGASKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC

Contact information

Practice address
1017 DUPONT RD, LOUISVILLE, KY 40207
(502) 365-4467
Mailing address
1017 DUPONT RD, LOUISVILLE, KY 40207
(502) 365-4467

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
165378
KY

Other

Enumeration date
09/13/2019
Last updated
09/13/2019
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