Individual
JENNY EWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 EASTPOINT PARK BLVD, LOUISVILLE, KY 40223-4164
(502) 253-1293
(502) 245-2034
Mailing address
13101 EASTPOINT PARK BLVD, LOUISVILLE, KY 40223-4164
(502) 253-1293
(502) 245-2034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KY-0076
KY
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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