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1295286995
BRIAN ANTHONY
LOUISA, KY
NPI
1295286995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 118360)
Enumeration Date
2016-10-18
Last Update Date
2021-02-26
Business Address
BRIAN ANTHONY CADC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
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Mailing Address
BRIAN ANTHONY CADC
1119 S 32ND ST
LOUISVILLE, KY 40211-1519
Phone number: 502-714-3341
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