Johnny Mauk

NPI #1194918482 in Grayson, Kentucky

Provider Information

NPI Number: 1194918482
Entity Type: Individual
Name: Johnny Mauk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 515 W MAIN ST
City: Grayson
State: Kentucky
ZIP Code: 41143-1250
Phone: (606) 474-0025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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