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Individual

MRS. NEVIA A GREENWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPAT

Contact information

Practice address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(502) 819-6720
Mailing address
911 E MAPLE ST, JEFFERSONVILLE, IN 47130-4325
(502) 479-4654

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
161868
KY

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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