Individual
WANDA AARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9952
Mailing address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9952
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
252109
KY
Other
Enumeration date
04/01/2019
Last updated
12/11/2023
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