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Individual

HANNAH DOUGLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CF-SLP

Contact information

Practice address
110 DENNIS DR, LEXINGTON, KY 40503-2917
(859) 403-1553
Mailing address
119 JESSELIN DR, LEXINGTON, KY 40503-2012
(859) 619-4034

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242664
KY

Other

Enumeration date
06/18/2018
Last updated
04/03/2019
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