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Individual

MARIE COMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED

Contact information

Practice address
4229 BARDSTOWN RD STE 126, LOUISVILLE, KY 40218-3284
(502) 416-1416
Mailing address
307 MCCREADY AVE, LOUISVILLE, KY 40206-2751
(412) 848-2470

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
05/21/2018
Last updated
05/21/2018
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