Individual
SHATARA LEE CAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CLARK ST, FRANKLIN, KY 42134-1302
(270) 282-3039
Mailing address
202 CLARK ST, FRANKLIN, KY 42134-1302
(270) 282-3039
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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