Individual
ELIZABETH VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 PECAN CT, PADUCAH, KY 42001-6728
(270) 554-0524
Mailing address
190 PECAN CT, PADUCAH, KY 42001-6728
(270) 554-0524
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3129
KY
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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