Organization
PATRICIA JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA JOHNSON (TVI)
(270) 589-0919
Entity
Organization
Contact information
Practice address
1360 MILLERSTOWN RD, CLARKSON, KY 42726-8126
(270) 589-0919
(270) 242-7461
Mailing address
1360 MILLERSTOWN RD, CLARKSON, KY 42726-8126
(270) 589-0919
(270) 242-7461
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
000038608
KY
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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