Individual
SUSAN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 821-8874
(270) 821-8883
Mailing address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
175334
KY
Other
Enumeration date
03/28/2014
Last updated
01/09/2018
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