JACQUELINE ROSE FUGATE

HAZARD, KY
NPI1629386503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: KY  000079322)
Enumeration Date2010-09-14
Last Update Date2014-03-25
Business Address
Mrs. JACQUELINE ROSE FUGATE
117 3RD ST
HAZARD, KY 41701-2159
Phone number: 606-233-1943
Mailing Address
Mrs. JACQUELINE ROSE FUGATE
117 3RD ST
HAZARD, KY 41701-2159
Phone number: 606-233-1943
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