Individual
MACK DILLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 881-9551
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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