Individual
MRS. STACEY GAIL FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DI
Contact information
Practice address
132 S CENTRAL AVE, SOMERSET, KY 42501-2030
(606) 305-7465
Mailing address
132 S CENTRAL AVE, SOMERSET, KY 42501-2030
(606) 305-7465
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
12/17/2018
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