Individual
TERESA LYNN MARSHALL-BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 W OAK ST, LOUISVILLE, KY 40210-1533
(502) 636-1572
Mailing address
214 BRECKENRIDGE LN, LOUISVILLE, KY 40207-3868
(812) 987-2043
(502) 709-4264
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103337
KY
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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