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Individual

VALAREE VINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
611 W 8TH ST, BENTON, KY 42025-1202
(270) 908-0461
(270) 366-0780
Mailing address
611 W 8TH ST, BENTON, KY 42025-1202

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/16/2017
Last updated
02/16/2017
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