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Individual

MRS. PAMELA ANN GOATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DEVELOPMENTAL INTERV

Contact information

Practice address
4989 STATE ROUTE 440, HICKORY, KY 42051-9222
(270) 674-5529
(270) 623-6393
Mailing address
4989 STATE ROUTE 440, HICKORY, KY 42051-9222
(270) 674-5529
(270) 623-6393

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F19527M
KY

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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