Individual
LAURA SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE CERTIFICATION
Contact information
Practice address
360 COX WATERS RD, SHELBYVILLE, KY 40065-9252
(502) 321-9719
Mailing address
360 COX WATERS RD, SHELBYVILLE, KY 40065-9252
(502) 321-9719
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201120391
KY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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