Individual
AUDREY LAINE KROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 CHARLESTOWN ROAD, NEW ALBANY, IN 47150
(930) 204-2414
Mailing address
821 APPLEGATE LN APT 42, CLARKSVILLE, IN 47129-6544
(930) 204-2414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-485050
KY
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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