Individual
MRS. MARANDA JANE ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 OLD MONTICELLO ST, SOMERSET, KY 42501-2357
(606) 271-7878
(606) 678-2723
Mailing address
127 OLD MONTICELLO ST, SOMERSET, KY 42501-2357
(606) 271-7878
(606) 678-2723
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201132385
KY
Other
Enumeration date
02/08/2012
Last updated
02/25/2013
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