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Individual

EMBER RAYNE MARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 S 6TH ST, MURRAY, KY 42071-2516
(907) 459-4700
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
172V00000X
Community Health Worker

Other

Enumeration date
08/08/2022
Last updated
01/03/2025
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