Individual
TERRA L MCGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 444-3604
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 444-3604
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
03/26/2019
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