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1124438387
DWAYNE EDWARD MOLLISON
ELIZABETHTOWN, KY
NPI
1124438387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 1642)
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
Mr. DWAYNE EDWARD MOLLISON M.Ed, LPCA
4000 N DIXIE HWY STE 6 SUITE 6
ELIZABETHTOWN, KY 42701-4650
Phone number: 270-889-1665
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Mailing Address
Mr. DWAYNE EDWARD MOLLISON M.Ed, LPCA
4000 N DIXIE HWY STE 6 SUITE 6
ELIZABETHTOWN, KY 42701-4650
Phone number: 270-889-1665
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