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1154757953
BETHANY DARLENE SIMON
LOUISVILLE, KY
NPI
1154757953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KY 162423)
Enumeration Date
2013-09-25
Last Update Date
2022-10-14
Business Address
BETHANY DARLENE SIMON
633 BAXTER AVE
LOUISVILLE, KY 40204-1157
Phone number: 502-309-2408
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Mailing Address
BETHANY DARLENE SIMON
633 BAXTER AVE
LOUISVILLE, KY 40204-1157
Phone number: 502-309-2408
Copy
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