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1033532080
COLBIE STATEN
COLUMBIA, KY
NPI
1033532080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 1732)
Enumeration Date
2014-01-28
Last Update Date
2014-01-28
Business Address
-- COLBIE STATEN
200 E FRAZIER AVE
COLUMBIA, KY 42728-1915
Phone number: 270-384-4719
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Mailing Address
-- COLBIE STATEN
130 SOUTHERN SCHOOL RD
SOMERSET, KY 42501-3223
Phone number:
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