Individual
VALERIE SANDUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 CHAMPIONS TRACE LN, LOUISVILLE, KY 40218-3495
(502) 712-2452
Mailing address
4710 CHAMPIONS TRACE LN, LOUISVILLE, KY 40218-3495
(502) 712-2452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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