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Organization

LORIE DALTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORIE BROWN DALTON (DEVELOPMENTAL INTERVENTIONIST)
(606) 387-4348
Entity
Organization

Contact information

Practice address
1539 WOLF RIVER DOCK ROAD, ALBANY, KY 42602-0212
(606) 387-4348
(606) 387-3185
Mailing address
PO BOX 212, ALBANY, KY 42602-0212
(606) 387-4348
(606) 387-3185

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
222Q00000X
KY

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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