MICAH SHANE FARMER

LOUISA, KY
NPI1821682485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2021-02-24
Last Update Date2021-02-24
Business Address
MICAH SHANE FARMER PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
Mailing Address
MICAH SHANE FARMER PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938