Individual
DR. CARLA LAKE FARR IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 KENTUCKY AVE, PADUCAH, KY 42003-2811
(270) 443-7553
(270) 443-7553
Mailing address
1924 KENTUCKY AVE, PADUCAH, KY 42003-2811
(270) 443-7553
(270) 443-7553
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0170
KY
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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