Individual
MICHELLE DARLENE WAFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 RODEO DR, ERLANGER, KY 41018-1279
(502) 594-1434
Mailing address
80 TRIPLE D DR, TAYLORSVILLE, KY 40071-9222
(502) 594-1434
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/23/2024
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