SUSAN FUQUA FENWICK

PHILPOT, KY
NPI1710532999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2019-08-05
Last Update Date2019-08-05
Business Address
SUSAN FUQUA FENWICK
3473 LONDON PIKE
PHILPOT, KY 42366-9344
Phone number: 270-302-1485
Mailing Address
SUSAN FUQUA FENWICK
3473 LONDON PIKE
PHILPOT, KY 42366-9344
Phone number: 270-302-1485