SHASTA WEASE

ELIZABETHTOWN, KY
NPI1255057402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
SHASTA WEASE
907 N MULBERRY ST STE 200
ELIZABETHTOWN, KY 42701-2018
Phone number: 270-982-7372
Mailing Address
SHASTA WEASE
2810 FRONTIER CT APT 1
RADCLIFF, KY 40160-9075
Phone number: 502-353-8277
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