DAKOTA SHORT

PRESTONSBURG, KY
NPI1275021966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2018-04-27
Last Update Date2018-04-27
Business Address
DAKOTA SHORT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
DAKOTA SHORT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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