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Individual

MOLLY HASTINGS-PARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCCS

Contact information

Practice address
9407 WESTPORT RD STE 105, LOUISVILLE, KY 40241-2315
(502) 423-3713
Mailing address
9407 WESTPORT RD STE 105, LOUISVILLE, KY 40241-2315
(502) 423-3713

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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