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1003112046
TAMMY WORTHAM
LOUISVILLE, KY
NPI
1003112046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: KY 1088542)
Enumeration Date
2011-02-09
Last Update Date
2011-02-09
Business Address
-- TAMMY WORTHAM
10510 LA GRANGE RD
LOUISVILLE, KY 40223-1277
Phone number: 502-589-8600
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Mailing Address
-- TAMMY WORTHAM
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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