Individual
LAURIE QUALAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPAT
Contact information
Practice address
2225 W BROADWAY, LOUISVILLE, KY 40211-1003
(502) 589-8600
(502) 589-8771
Mailing address
1436 S FLOYD ST, LOUISVILLE, KY 40208-2016
(502) 552-0946
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
11/22/2013
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