Individual
TAYLOR SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718
(270) 465-7768
Mailing address
50 GENE CASH RD, CAMPBELLSVILLE, KY 42718
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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