Individual
JESSICA C MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(502) 633-1315
Mailing address
2033 BARDSTOWN TRL, WADDY, KY 40076-5102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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