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Individual

DEVON ELIZABETH FRANK

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
112 PROBUS RD, LEITCHFIELD, KY 42754-7633
(270) 230-5500

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201192556
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201192556
TEACHING CERTIFICATE
KY
Enumeration date
01/22/2019
Last updated
01/22/2019
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