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1326179474
LARRY WAYNE BREEDLOVE
HOLLIDAYSBURG, PA
NPI
1326179474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW023022)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-03-08
Last Update Date
2023-07-28
Business Address
Mr. LARRY WAYNE BREEDLOVE
1906 N JUNIATA ST
HOLLIDAYSBURG, PA 16648-1908
Phone number: 814-695-2984
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Mailing Address
Mr. LARRY WAYNE BREEDLOVE
1906 N JUNIATA ST
HOLLIDAYSBURG, PA 16648-1908
Phone number: 814-695-2984
Copy
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