Individual
MERRIETTA STANDAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
767 MAIN ST, WEST LIBERTY, KY 41472-1019
(800) 562-8909
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
289825
KY
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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