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1174220479
MYRISSA GROSE
LEXINGTON, KY
NPI
1174220479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WV BP00946464)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
MYRISSA GROSE MSW,CSW
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY 40505-9009
Phone number: 859-254-1035
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Mailing Address
MYRISSA GROSE MSW,CSW
2250 THUNDERSTICK DR STE 1104
LEXINGTON, KY 40505-9009
Phone number:
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