JAMES DEREK STEPHENSON

LOUISA, KY
NPI1205593472
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2021-11-23
Last Update Date2021-11-29
Business Address
JAMES DEREK STEPHENSON
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
JAMES DEREK STEPHENSON
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: