Individual
MS. JENNIFER ANNE BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 SPENCER CT, LA GRANGE, KY 40031-6742
(502) 222-7210
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
114296
KY
Other
Enumeration date
06/18/2015
Last updated
06/14/2016
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