Individual
MRS. ANDREA NICOLE FACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 NEW GLENDALE RD, LINCOLN TRAIL DISTRICT HEALTH DEPT, ELIZABETHTOWN, KY 42702-2609
(270) 769-1601
(270) 765-7274
Mailing address
PO BOX 2609, ELIZABETHTOWN, KS 42702-2609
(270) 769-1601
(270) 765-7274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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