Individual
JESSICA MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3717 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1333
(502) 459-5292
Mailing address
1401 JUNIPER DR APT 2, LOUISVILLE, KY 40222-7853
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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