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Tennis Robertson

Counselor, Professional in Louisville, KY. Individual provider (NPI-1).

NPI number1982439949
StatusActive
Last updated in NPPESSep 7, 2024

Details

NPI
1982439949
Entity type
Individual (NPI-1)
Name
Tennis Robertson
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 7, 2024
Certification date
Sep 6, 2024
Last updated
Sep 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional294367KYYes

Practice location

5901 Brandon Dunes Dr
Louisville, KY 40228-1157

Phone 412-606-7368

Mailing address

5901 Brandon Dunes Dr
Louisville, KY 40228-1157

Phone 412-606-7368

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