Individual
MARGIE KOMMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7213 HUNTERS RUN DR, PROSPECT, KY 40059-8895
(502) 228-5133
Mailing address
7213 HUNTERS RUN DR, PROSPECT, KY 40059-8895
(502) 228-5133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-686
KY
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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