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1194598177
MIRANDA PAIGE CLARK
FLORENCE, KY
NPI
1194598177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 274268)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
MIRANDA PAIGE CLARK
6066 CEDAR HILL LN
FLORENCE, KY 41042-1046
Phone number: 513-257-9064
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Mailing Address
MIRANDA PAIGE CLARK
6066 CEDAR HILL LN
FLORENCE, KY 41042-1046
Phone number: 513-257-9064
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