Individual
TRISTEN PAIGE DUNAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IECE
Contact information
Practice address
308 BROADWAY ST, HORSE CAVE, KY 42749-1205
(270) 670-5357
Mailing address
308 WALTHALL ST, HORSE CAVE, KY 42749-1137
(270) 670-5290
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201189984
KY
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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