Individual
MS. MARISSA NICOLE ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(270) 352-1133
Mailing address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(270) 352-1133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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