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Individual

DAWN RENEE WHEATLEY-HODGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT ASSOCIATE

Contact information

Practice address
4420 DIXIE HWY STE 230, LOUISVILLE, KY 40216-2986
(502) 432-2234
Mailing address
10307 BEAU BRUMMELL DR, FAIRDALE, KY 40118-9417
(502) 432-2234

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
289767
KY

Other

Enumeration date
02/22/2024
Last updated
02/22/2024
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