Individual
LISA L SELLS-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
653 WINDBROOK DR, ELIZABETHTOWN, KY 42701-6827
(502) 500-4452
(502) 873-0020
Mailing address
120 N KNOX, #398, FT KNOX, KY 40121
(469) 401-4222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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