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Individual

MRS. COURTNEY WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1003 BURLEW BLVD STE C, OWENSBORO, KY 42303-1799
(270) 688-8449
Mailing address
1003 BURLEW BLVD STE C, OWENSBORO, KY 42303-1799
(270) 688-8449

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPLPA00193935
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GN 086
KY
Enumeration date
06/01/2015
Last updated
06/01/2015
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