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Individual

MISS AMY LEEANN TODD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
200 MEDICAL CENTER DR, HARLAN, KY 40831-0014
(606) 573-7261
Mailing address
PO BOX 681, WALLINS CREEK, KY 40873-0681
(606) 273-3014

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/02/2018
Last updated
07/02/2018
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