Individual
MRS. MARY MELISSA DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
164 COURTNEY RD, FANCY FARM, KY 42039-9505
(270) 623-6227
Mailing address
164 COURTNEY RD, FANCY FARM, KY 42039-9505
(270) 623-6227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2468
KY
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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