THERESA FAUTZ

LOUISVILLE, KY
NPI1447345038
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  KY1617)
Enumeration Date2006-10-03
Last Update Date2008-05-22
Business Address
-- THERESA FAUTZ LCSW
1448 GARDINER LN SUITE202-203
LOUISVILLE, KY 40213-1978
Phone number: 502-456-9998
Mailing Address
-- THERESA FAUTZ LCSW
1448 GARDINER LANE SUITE 202-203
LOUISVILLE, KY 40213
Phone number: 502-456-9998
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