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Individual

MS. LACY RYAN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
121 CASEY ST, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
(270) 465-0068
Mailing address
884 HOGARDS CHAPEL RD, CAMPBELLSVILLE, KY 42718-8871
(270) 403-8994

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
168906
KY
235Z00000X
Speech-Language Pathologist
Primary
173215
KY

Other

Enumeration date
08/11/2016
Last updated
07/19/2017
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