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1255816310
DENNIS BROOKS PARK
PADUCAH, KY
NPI
1255816310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KY 172662)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
DENNIS BROOKS PARK TCADC
2705 OLIVET CHURCH RD
PADUCAH, KY 42001-9755
Phone number: 270-443-0096
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Mailing Address
DENNIS BROOKS PARK TCADC
2705 OLIVET CHURCH RD
PADUCAH, KY 42001-9755
Phone number: 270-443-0096
Copy
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