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1164201810
KRISTA JULIANE WILSON
LEITCHFIELD, KY
NPI
1164201810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 287527)
Enumeration Date
2023-09-22
Last Update Date
2023-09-22
Business Address
KRISTA JULIANE WILSON TCADC
805 COMMERCE DR
LEITCHFIELD, KY 42754-9188
Phone number: 270-259-4652
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Mailing Address
KRISTA JULIANE WILSON TCADC
805 COMMERCE DR
LEITCHFIELD, KY 42754-9188
Phone number: 270-259-4652
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