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1831619758
TRACIE S LAIN
LOUISVILLE, KY
NPI
1831619758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2017-06-21
Last Update Date
2022-07-21
Business Address
TRACIE S LAIN M.Ed.
13101 EASTPOINT PARK BLVD.
LOUISVILLE, KY 40223
Phone number: 502-253-1293
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Mailing Address
TRACIE S LAIN M.Ed.
13101 EASTPOINT PARK BLVD
LOUISVILLE, KY 40223-4164
Phone number: 502-253-1293
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