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1215341821
KELLY DEVERS
ELIZABETHTOWN, KY
NPI
1215341821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-06-12
Last Update Date
2014-06-12
Business Address
-- KELLY DEVERS AAS
615 WESTPORT RD
ELIZABETHTOWN, KY 42701-2874
Phone number: 270-737-6449
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Mailing Address
-- KELLY DEVERS AAS
615 WESTPORT RD
ELIZABETHTOWN, KY 42701-2874
Phone number: 270-737-6449
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