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1164138756
KELLY LYNN THOMPSON
BOWLING GREEN, KY
NPI
1164138756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-26
Last Update Date
2023-05-15
Business Address
KELLY LYNN THOMPSON
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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Mailing Address
KELLY LYNN THOMPSON
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number:
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