Individual
SANDRA F CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 INDEPENDENCE DR, HAZARD, KY 41701-9443
(606) 854-6048
Mailing address
PO BOX 8, VICCO, KY 41773-0008
(606) 854-6048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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