Individual
EMBER PAGE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 E MAIN ST, LEXINGTON, KY 40507-1512
(859) 643-8905
Mailing address
2496 SOUTHVIEW DR, LEXINGTON, KY 40503-2248
(859) 608-2656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
287357
KY
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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