Individual
MS. TRACEY FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 GOLDSMITH LN, LOUISVILLE, KY 40218
(502) 636-3207
(502) 636-0024
Mailing address
1906 GOLDSMITH LN, LOUISVILLE, KY 40218-2066
(502) 498-2927
(502) 498-2946
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
KIE
KY
Other
Enumeration date
03/02/2009
Last updated
11/21/2018
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