Individual
TRACY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9466
Mailing address
1036 SAMUEL ST, LOUISVILLE, KY 40204-2416
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
288122
KY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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