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Individual

OLIVIA SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2220 PAYNE ST # 1, LOUISVILLE, KY 40206-2872
(502) 303-1730
Mailing address
2220 PAYNE ST # 1, LOUISVILLE, KY 40206-2872

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
280641
KY

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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