LUZON PIVI MABONGHOT

LOUISVILLE, KY
NPI1447089594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: KY  256402)
Enumeration Date2024-07-29
Last Update Date2024-07-29
Business Address
LUZON PIVI MABONGHOT
1015 DORSEY LN
LOUISVILLE, KY 40223-2612
Phone number: 502-245-1576
Mailing Address
LUZON PIVI MABONGHOT
1015 DORSEY LN
LOUISVILLE, KY 40223-2612
Phone number:
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