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1225637648
CARISSA RAE RODDEN
ELIZABETHTOWN, KY
NPI
1225637648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY 282370)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-10-19
Last Update Date
2022-12-26
Business Address
CARISSA RAE RODDEN NCC
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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Mailing Address
CARISSA RAE RODDEN NCC
609 WINDBROOK DR
ELIZABETHTOWN, KY 42701-6827
Phone number: 816-646-9897
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