Individual
MRS. DAKOTA RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 DAKOTA DR, SOMERSET, KY 42501-2425
(606) 875-0641
Mailing address
237 DAKOTA DR, SOMERSET, KY 42501-2425
(606) 875-0641
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYPAT00222534
KY
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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