Individual
STEPHANIE POPOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS
Contact information
Practice address
380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY 42103
(270) 901-5000
(270) 781-0035
Mailing address
2325 BUTTERWOOD WAY, BOWLING GREEN, KY 42101-5217
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
05/01/2007
Last updated
04/04/2008
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