Individual
MRS. MARY SUZETTA HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
544 GENERAL CRUFT, RICHMOND, KY 40475-8887
(859) 661-2423
Mailing address
544 GENERAL CRUFT DR, RICHMOND, KY 40475-8887
(859) 661-2423
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000042294
KY
Other
Enumeration date
07/05/2012
Last updated
07/06/2016
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