ELICE MARIE MIRACLE

CORBIN, KY
NPI1316165087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: KY  0237)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
Miss ELICE MARIE MIRACLE LPCA, M.Ed
1203 AMERICAN GREETING RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
Miss ELICE MARIE MIRACLE LPCA, M.Ed
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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