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Individual

MARINA ALLEN SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
366 KY ROUTE 680, MC DOWELL, KY 41647-6012
(606) 377-6640
Mailing address
37 PITTS FRK, DAVID, KY 41616-9034
(606) 886-7842

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1448
KY

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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