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1194858571
KELLY GOFORTH
LOUISVILLE, KY
NPI
1194858571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KY 105429)
Enumeration Date
2007-03-14
Last Update Date
2016-06-03
Business Address
Mr. KELLY GOFORTH
4710 CHAMPIONS TRACE LN STE 107
LOUISVILLE, KY 40218-4490
Phone number: 502-589-8600
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Mailing Address
Mr. KELLY GOFORTH
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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