Individual
MRS. MARY M DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6140 OLD STATE RD, PHILPOT, KY 42366-8802
(270) 729-0951
Mailing address
6140 OLD STATE RD, PHILPOT, KY 42366-8802
(270) 729-0951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2451
KY
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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