Individual
MRS. TERESA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
767 FRASURE BR, GRETHEL, KY 41631-6311
(606) 454-5762
(606) 587-1991
Mailing address
PO BOX 714, HAROLD, KY 41635-0714
(606) 454-5762
(606) 587-1991
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
05/22/2007
Last updated
06/13/2016
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