Individual
PATRICIA C TAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11103 PARK RD, LOUISVILLE, KY 40223-2424
(592) 245-4171
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(150) 258-9860
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
274470
KY
Other
Enumeration date
04/11/2022
Last updated
04/15/2022
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