Individual
NANCY WUNDERLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 W FARTHING ST, MAYFIELD, KY 42066-2900
(270) 247-6477
Mailing address
106 CAMPBELL CT, MAYFIELD, KY 42066-1312
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
168161
KY
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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