Individual
ANGELINA WEDDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 HILLSIDE TER, LOUISVILLE, KY 40206-2513
(512) 947-9892
Mailing address
5454 NEW CUT RD STE 3, LOUISVILLE, KY 40214-4271
(512) 333-0218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
283657
KY
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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