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1255741781
ALICIA M DURHAM
LOUISVILLE, KY
NPI
1255741781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KY 2012-004)
Enumeration Date
2014-05-06
Last Update Date
2014-05-06
Business Address
-- ALICIA M DURHAM MFTA
3900 RIVEROAKS LN
LOUISVILLE, KY 40241
Phone number: 502-322-6456
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Mailing Address
-- ALICIA M DURHAM MFTA
3900 RIVEROAKS LN
LOUISVILLE, KY 40241-2031
Phone number: 502-322-6456
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