Individual
EMILEE M WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12008 W US HIGHWAY 60, OLIVE HILL, KY 41164-8363
(270) 763-8225
(270) 763-8125
Mailing address
12008 W US HIGHWAY 60, OLIVE HILL, KY 41164-8363
(270) 763-8225
(270) 763-8125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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