FIDELIA EZE

ASHLAND, KY
NPI1205927332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  165168)
Enumeration Date2006-09-27
Last Update Date2016-08-31
Business Address
-- FIDELIA EZE CADC
201 22ND ST
ASHLAND, KY 41101-7803
Phone number: 606-324-1141
Mailing Address
-- FIDELIA EZE CADC
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588
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