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1154782381
ALYSSA BLAIR FIELDS
CORBIN, KY
NPI
1154782381
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Former Name
ALYSSA BLAIR JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-16
Last Update Date
2016-03-16
Business Address
Mrs. ALYSSA BLAIR FIELDS BS
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
Mrs. ALYSSA BLAIR FIELDS BS
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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