Individual
STEPHANIE A ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
203 S WATER ST, LOUISA, KY 41230-1347
(606) 649-2211
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
01/02/2024
Last updated
11/17/2025
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