Individual
CARLA VIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 S STRATFORD DR, OWENSBORO, KY 42301-3432
(270) 314-4218
Mailing address
2318 S STRATFORD DR, OWENSBORO, KY 42301-3432
(270) 314-4218
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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