Individual
MRS. WANDA BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
13415 HIGHWAY 30 E, JACKSON, KY 41339-7888
(606) 666-8488
Mailing address
13415 HIGHWAY 30 E, JACKSON, KY 41339-7888
(606) 666-8488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0962
KY
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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