PENELOPE BACK LENTZ

LOUISVILLE, KY
NPI1669802575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  KY-0154)
Enumeration Date2013-11-14
Last Update Date2013-11-14
Business Address
-- PENELOPE BACK LENTZ LPAT
128 N CLIFTON AVE
LOUISVILLE, KY 40206-2402
Phone number: 502-468-5429
Mailing Address
-- PENELOPE BACK LENTZ LPAT
128 N CLIFTON AVE
LOUISVILLE, KY 40206-2402
Phone number: 502-468-5429