Individual
DAVEN RICHELLE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 W MAIN ST, LEXINGTON, KY 40508-2065
(855) 591-0092
Mailing address
526 MEADOWBROOK RD, RICHMOND, KY 40475-9581
(859) 556-2736
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
12/18/2019
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