Individual
MRS. SHEILA EDNA MISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 HENRY ST, MURRAY, KY 42071-2924
(270) 227-8512
Mailing address
1506 HENRY ST, MURRAY, KY 42071-2924
(270) 227-8512
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252YOOOOOX
EARLY INTERVENTIO PROVIDER AGENCY
KY
Enumeration date
05/25/2017
Last updated
07/21/2022
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