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Individual

MRS. BRENDA SUE MUNCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IECE

Contact information

Practice address
183 GRAND VIEW DR, LONDON, KY 40741-6739
(606) 843-2577
(606) 843-9459
Mailing address
183 GRAND VIEW DR, LONDON, KY 40741-6739
(606) 843-2577
(606) 843-9459

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200009896
KY

Other

Enumeration date
04/07/2007
Last updated
08/25/2014
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