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Individual

ALEXANDRIA A FARMER-JUCOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
914 E BROADWAY, LOUISVILLE, KY 40204-1037
(502) 587-8833
(502) 589-8758
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
265429
KY

Other

Enumeration date
10/02/2020
Last updated
10/02/2020
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