Individual
MS. CARLA LEE O'GUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 GENE WILSON BLVD, LOUISA, KY 41230-9002
(989) 666-4324
Mailing address
1415 GENE WILSON BLVD, LOUISA, KY 41230-9002
(989) 666-4324
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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