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Individual
MRS. BRENDA SUE MUNCY
Active
Individual
MRS. BRENDA SUE MUNCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200009896
KY
Other
Enumeration date
04/07/2007
Last updated
08/25/2014
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