Individual
JACQUELYN E SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPP
Contact information
Practice address
2210 GOLDSMITH LN STE 100, LOUISVILLE, KY 40218
(502) 428-1728
Mailing address
8709 LONGBOROUGH WAY, LOUISVILLE, KY 40299-1132
(502) 428-1728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2011
Last updated
05/14/2018
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