Individual
MRS. DEDRA ANN SLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 LEFT GREASY CAMP ST, SHELBIANA, KY 41562-8461
(606) 422-7927
Mailing address
68 LEFT GREASY CAMP ST, SHELBIANA, KY 41562-8461
(606) 422-7927
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201197168
KY
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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