Individual
MARY COURTENAY DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 BURT RD STE 4, LEXINGTON, KY 40503-2410
(859) 276-0335
Mailing address
4451 ROSE DALE CT, LEXINGTON, KY 40515-6324
(502) 836-7140
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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