Individual
SARAH RAE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 BIG BARN RD, TYNER, KY 40486-8403
(859) 200-7861
Mailing address
PO BOX 473, TYNER, KY 40486-0473
(859) 200-7861
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
200407033
KY
Other
Enumeration date
06/02/2011
Last updated
10/03/2012
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