Individual
MRS. VIRGINIA ASHLEY BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13008 TATTERSALL LN, PROSPECT, KY 40059-9718
(502) 262-8234
Mailing address
13008 TATTERSALL LN, PROSPECT, KY 40059-9718
(502) 262-8234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3240
KY
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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