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1285133660
MELISSA DIVACK
HOPKINSVILLE, KY
NPI
1285133660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-02-12
Last Update Date
2018-02-12
Business Address
MELISSA DIVACK
607 HAMMOND PLZ
HOPKINSVILLE, KY 42240-4971
Phone number: 270-881-9551
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Mailing Address
MELISSA DIVACK
3999 FORT CAMPBELL BLVD
HOPKINSVILLE, KY 42240-4929
Phone number: 270-886-2205
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