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Individual

CARRIE GARNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 CAROLYN CT, RADCLIFF, KY 40160-2984
(502) 767-1735
Mailing address
208 CAROLYN CT, RADCLIFF, KY 40160-2984
(502) 767-1735

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
200701117
KY

Other

Enumeration date
11/07/2011
Last updated
11/07/2011
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