Individual
MARY K TELEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 584-3573
(502) 515-3325
Mailing address
111 E KENTUCKY ST, LOUISVILLE, KY 40203-2793
(502) 371-9910
(502) 515-3325
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
Other
Enumeration date
02/14/2021
Last updated
03/24/2021
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