Individual
MRS. JENNIFFER ANNETTE FUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 LONGHUNTERS TRL, GLASGOW, KY 42141-1267
(270) 670-8326
Mailing address
135 LONGHUNTERS TRL, GLASGOW, KY 42141-1267
(270) 670-8326
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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