Individual
MARY KATRINA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
145 SWAN LAKE RD, NORTONVILLE, KY 42442-9771
(270) 836-9548
Mailing address
145 SWAN LAKE RD, NORTONVILLE, KY 42442-9771
(270) 836-9548
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
5720
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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