MIRANDA WYNN BULLOCK-DAVIDSON

LEXINGTON, KY
NPI1104144336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: KY  10-027)
Enumeration Date2010-05-12
Last Update Date2010-05-12
Business Address
Mrs. MIRANDA WYNN BULLOCK-DAVIDSON M.S., CFY-SLP
1001 MONARCH ST STE. 110
LEXINGTON, KY 40513-1495
Phone number: 859-224-0834
Mailing Address
Mrs. MIRANDA WYNN BULLOCK-DAVIDSON M.S., CFY-SLP
1001 MONARCH ST STE. 110
LEXINGTON, KY 40513-1495
Phone number: 859-224-0834