Individual
MRS. TAMMY LEA PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
363 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-3302
(270) 352-1133
Mailing address
363 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-3302
(270) 352-1133
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KY
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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