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1245730910
CHRISTOPHER ANDREW CLAN
RADCLIFF, KY
NPI
1245730910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor Mental Health
(Licence: KY 272176)
Enumeration Date
2018-02-19
Last Update Date
2024-02-12
Business Address
CHRISTOPHER ANDREW CLAN
1072 S DIXIE BLVD
RADCLIFF, KY 40160-1103
Phone number: 270-351-8166
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Mailing Address
CHRISTOPHER ANDREW CLAN
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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