Individual
YVETTE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
Mailing address
216 S 41ST ST, LOUISVILLE, KY 40212-2510
(502) 656-0475
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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