Individual
MS. CAROL ANNETTE SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
1841 OLD CLEAR SPRINGS RD, RUSSELL SPRINGS, KY 42642-7962
(606) 305-1355
Mailing address
1841 OLD CLEAR SPRINGS RD, RUSSELL SPRINGS, KY 42642-7962
(606) 305-1355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1381
KY
235Z00000X
Speech-Language Pathologist
Primary
140856
KY
Other
Enumeration date
06/02/2008
Last updated
04/08/2022
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