Individual
TENNIS ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 BRANDON DUNES DR, LOUISVILLE, KY 40228-1157
(412) 606-7368
Mailing address
5901 BRANDON DUNES DR, LOUISVILLE, KY 40228-1157
(412) 606-7368
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
294367
KY
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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