Individual
VIRGINIA CARROLL SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 ROSE CIR, PARK HILLS, KY 41011-1925
(859) 802-4668
Mailing address
1044 ROSE CIR, PARK HILLS, KY 41011-1925
(859) 802-4668
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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