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1093033144
KRYSTIA DODGE
CHARLESTOWN, IN
NPI
1093033144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-05-13
Last Update Date
2010-05-13
Business Address
-- KRYSTIA DODGE
7509 CHARLESTOWN PIKE
CHARLESTOWN, IN 47111-9623
Phone number: 812-256-4686
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Mailing Address
-- KRYSTIA DODGE
3448 BELLMEADE RD
LEXINGTON, KY 40517-2306
Phone number:
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