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1295754067
CONNIE ANTLE
GREENSBURG, KY
NPI
1295754067
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Former Name
CONNIE CARTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 3990)
Enumeration Date
2006-07-19
Last Update Date
2016-03-03
Business Address
-- CONNIE ANTLE LCSW
521 OLD HODGENVILLE RD
GREENSBURG, KY 42743-9493
Phone number: 270-932-3226
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Mailing Address
-- CONNIE ANTLE LCSW
130 SOUTHERN SCHOOL RD
SOMERSET, KY 42501-3223
Phone number: 606-679-4782
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