Individual
MRS. MIRANDA RAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 N MAIN ST, NICHOLASVILLE, KY 40356-1134
(866) 934-7450
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
173095
KY
Other
Enumeration date
03/30/2023
Last updated
04/05/2023
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