Carolyn M Vance

NPI #1730717000 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1730717000
Entity Type: Individual
Name: Carolyn M Vance
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Mar 31, 2020
Last Updated: Mar 31, 2020

Practice Location

Address: 537 BELLWOOD DR APT 1
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-2336
Phone: (270) 766-9826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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