Susan Fuqua Fenwick

NPI #1710532999 in Philpot, Kentucky

Provider Information

NPI Number: 1710532999
Entity Type: Individual
Name: Susan Fuqua Fenwick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 5, 2019
Last Updated: Aug 5, 2019

Practice Location

Address: 3473 LONDON PIKE
City: Philpot
State: Kentucky
ZIP Code: 42366-9344
Phone: (270) 302-1485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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