Individual
EMILY DEBROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 VIRGINIA AVE, LOUISVILLE, KY 40222-6744
(614) 257-8363
Mailing address
510 VIRGINIA AVE, LOUISVILLE, KY 40222-6744
(614) 257-8363
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
KY
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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