STACI MAYNARD, PROVISIONAL TVI

PROVISIONAL TVI

Developmental Therapist

NPI: 1972086031Individual

Specialties, Licenses & Credentials

Developmental TherapistPrimary

Developmental Therapist

Code: 222Q00000X

Contact & Hours

Address: 1906 GOLDSMITH LN
LOUISVILLE, KY 40218
Phone: (502) 636-3207

Quick Facts

NPI: 1972086031
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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