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1235738105
DEMETRIUS THOMPSON
INDEPENDENCE, KY
NPI
1235738105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-22
Last Update Date
2020-10-22
Business Address
Mr. DEMETRIUS THOMPSON
1974 WALTON NICHOLSON PIKE
INDEPENDENCE, KY 41051-7906
Phone number: 859-359-5404
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Mailing Address
Mr. DEMETRIUS THOMPSON
1974 WALTON NICHOLSON PIKE
INDEPENDENCE, KY 41051-7906
Phone number: 859-359-5404
Copy
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