Individual
BOBBI SUE SOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCADC, MSP
Contact information
Practice address
2150 CARTER AVE, ASHLAND, KY 41101-7734
(606) 393-5926
(606) 393-5613
Mailing address
3004 BATH AVE, ASHLAND, KY 41101-3032
(606) 471-5319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
169265
KY
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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