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1205146354
CECELIA E RESIDE
PADUCAH, KY
NPI
1205146354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
-- CECELIA E RESIDE
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number: 270-442-7121
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Mailing Address
-- CECELIA E RESIDE
425 BROADWAY ST
PADUCAH, KY 42001-0713
Phone number:
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