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Individual

MRS. DELORIS F TOWNSEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
184 HALLS BRANCH RD, STANTON, KY 40380-8033
(859) 749-6956
(606) 663-4745
Mailing address
184 HALLS BRANCH RD, STANTON, KY 40380-8033
(859) 749-6956
(606) 663-4745

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1163
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171M000X
SERVICE PROVIDER
KY
Enumeration date
05/05/2007
Last updated
07/08/2007
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