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1114226701
MADONNA MILLETT
MIDDLESBORO, KY
NPI
1114226701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: KY 1142)
Enumeration Date
2011-03-22
Last Update Date
2011-03-22
Business Address
-- MADONNA MILLETT CCC/SLP
172 WELLINGTON DR
MIDDLESBORO, KY 40965-9422
Phone number: 606-248-1406
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Mailing Address
-- MADONNA MILLETT CCC/SLP
172 WELLINGTON DR
MIDDLESBORO, KY 40965-9422
Phone number:
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