MICHAEL D THEDFORD

LOUISVILLE, KY
NPI1366222812
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: KY  1211944)
Enumeration Date2023-10-03
Last Update Date2023-10-03
Business Address
MICHAEL D THEDFORD
4106 FLINTLOCK DR
LOUISVILLE, KY 40216-1534
Phone number: 502-715-6792
Mailing Address
MICHAEL D THEDFORD
4106 FLINTLOCK DR
LOUISVILLE, KY 40216-1534
Phone number: 502-715-6792
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