Individual
JESSICA SHAE FUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 LEXINGTON RD STE G, RICHMOND, KY 40475-7924
(859) 285-7949
Mailing address
24 HICKORY RIDGE DR, CORBIN, KY 40701-2866
(606) 670-2267
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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