Individual
MRS. ELIZABETH TAPP RALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PALM ST, LEBANON, KY 40033-1108
(859) 481-4734
Mailing address
108 PALM ST, LEBANON, KY 40033-1108
(859) 481-4734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3161
KY
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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