Individual
SHERRY LYNN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
(270) 287-0656
(270) 230-0328
Mailing address
PO BOX 73, MILLWOOD, KY 42762-0073
(270) 868-6083
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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