Individual
MICELA LORRAINE HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
225 TOWNE SQUARE PARK, LEXINGTON, KY 40511-2097
(575) 430-2068
Mailing address
225 TOWNE SQUARE PARK, LEXINGTON, KY 40511-2097
(575) 430-2068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4155
KY
Other
Enumeration date
10/14/2012
Last updated
10/14/2012
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