Individual
ERICA MARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E SOUTH ST, MUNFORDVILLE, KY 42765-9023
(270) 849-7416
Mailing address
2755 WHITE ROSE RD, CAMPBELLSVILLE, KY 42718-9111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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