(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003568163
Provider Name: SAVANNAH DEESE
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 01/20/2022
Last Updated: 01/20/2022
Provider Practice Location
6201 BENTON RD
PADUCAH
KY
420031304
Practice Location Phone/Fax
Phone: 2709080461
Fax: 2703660780
Provider Mailing Location
6201 BENTON RD
PADUCAH
KY
420031304
Provider Mailing Phone/Fax
Phone: 2709080461
Fax: 2703660780