Individual
LAINE GADDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2923
(270) 807-0316
(270) 288-0932
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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