Organization
MAGNOLIA TREE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUEYN MCGHEE CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(606) 391-6224
Entity
Organization
Contact information
Practice address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(160) 668-2264
Mailing address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 682-2647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
12/13/2022
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