NEURODIVERSE THERAPY, LLC

FORT KNOX, KY
NPI1255020368
Entity TypeOrganization
Authorized ContactSTACEY ZIMMERMAN
Lcsw/ Owner
561-414-6016
Organization Subpart ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2023-05-04
Last Update Date2023-05-04
Business Address
NEURODIVERSE THERAPY, LLC
209 WILLOW AVE
FORT KNOX, KY 40121-4513
Phone number: 561-414-6016
Mailing Address
NEURODIVERSE THERAPY, LLC
209 WILLOW AVE
FORT KNOX, KY 40121-4513
Phone number:
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