Individual
HEATHER AUTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 FREDERICA ST STE 406, OWENSBORO, KY 42301-3079
(812) 629-7447
Mailing address
920 FREDERICA ST STE 406, OWENSBORO, KY 42301-3079
(812) 629-7447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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