Individual
DASEAN JANUARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
12921 OBSERVATION CIR UNIT 202, LOUISVILLE, KY 40243-1678
(502) 759-4644
Mailing address
12921 OBSERVATION CIR UNIT 202, LOUISVILLE, KY 40243-1678
(502) 759-4644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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