Individual
ERICA MARIE QUARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPATA
Contact information
Practice address
9520 INDIAN PIPE LN, PROSPECT, KY 40059-7006
(502) 418-5849
Mailing address
9520 INDIAN PIPE LN, PROSPECT, KY 40059-7006
(502) 418-5849
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
266152
KY
Other
Enumeration date
09/29/2020
Last updated
04/04/2022
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