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1275775017
BRYON L DOUGLAS
ELIZABETHTOWN, KY
NPI
1275775017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY 1406)
Enumeration Date
2009-03-25
Last Update Date
2014-12-02
Business Address
-- BRYON L DOUGLAS LPCC
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701-2621
Phone number: 270-765-2605
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Mailing Address
-- BRYON L DOUGLAS LPCC
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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