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1174094510
TYESHA BASKIN
ASHLAND, KY
NPI
1174094510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-11
Last Update Date
2018-12-11
Business Address
TYESHA BASKIN
3655 WINCHESTER AVE
ASHLAND, KY 41101-2065
Phone number: 606-393-4632
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Mailing Address
TYESHA BASKIN
3655 WINCHESTER AVE
ASHLAND, KY 41101-2065
Phone number:
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