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Individual

ERICA DANIELLE NEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DI

Contact information

Practice address
130 W MOSE RAGER BLVD, DRAKESBORO, KY 42337-2113
(270) 280-7249
Mailing address
PO BOX 475, DRAKESBORO, KY 42337-0475
(270) 280-7249

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
358192
KY
222Q00000X
Developmental Therapist
Primary
KY

Other

Enumeration date
04/15/2025
Last updated
04/15/2025
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