Individual
SANDRA LEE CLEVENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1664 MILL RD, MOUNT EDEN, KY 40046-8023
(502) 477-2480
(502) 477-2480
Mailing address
1664 MILL RD, MOUNT EDEN, KY 40046-8023
(502) 477-2480
(502) 477-2480
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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