Individual
TAMMY RENAE MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 US HIGHWAY 25 E STE 98, MIDDLESBORO, KY 40965-2075
(606) 545-2631
Mailing address
PO BOX 843, BARBOURVILLE, KY 40906-0843
(606) 627-3280
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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