RENIVA JO S. AVERY

CANMER, KY
NPI1114005840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: KY  F254TZ)
Enumeration Date2006-11-01
Last Update Date2014-03-28
Business Address
Mrs. RENIVA JO S. AVERY M.A. El.Ed.
3770 DEFRIES RD
CANMER, KY 42722
Phone number: 270-528-4416
Mailing Address
Mrs. RENIVA JO S. AVERY M.A. El.Ed.
3770 DEFRIES RD
CANMER, KY 42722-9461
Phone number: 270-528-4416