Individual
MRS. NICOLE TEANN FOSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 BLAKE WAY, MT. STERLING, KY 40353
(859) 274-3303
Mailing address
220 BLAKE WAY, MT. STERLING, KY 40353
(859) 274-3303
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
02/20/2020
Last updated
03/04/2020
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