Individual
SYDNI BRENN CHAFFINS-PLUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Mailing address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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