Individual
MISTY POGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 TAGGART LN, GREENVILLE, KY 42345-5000
(270) 543-3656
Mailing address
75 TAGGART LN, GREENVILLE, KY 42345-5000
(270) 543-3656
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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