Individual
MISS GENEVA POLSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 N DIXIE HWY BLDG C, ELIZABETHTOWN, KY 42701-2621
(270) 769-1304
Mailing address
1510 S 3RD ST, APT #3, LOUISVILLE, KY 40208-1990
(410) 299-8814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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