Individual
MISS BRITTANY SHEA RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
938 2ND ST, HENDERSON, KY 42420-3231
(270) 860-9594
Mailing address
109 GREENVILLE ST, DAWSON SPRINGS, KY 42408-1214
(270) 896-8541
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
09/22/2023
Last updated
09/25/2023
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