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1336706902
ALICE J WATHEN
BOWLING GREEN, KY
NPI
1336706902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 248450)
Enumeration Date
2019-05-20
Last Update Date
2024-04-24
Business Address
ALICE J WATHEN
624 OAKLAWN WAY
BOWLING GREEN, KY 42104-3867
Phone number: 270-791-9568
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Mailing Address
ALICE J WATHEN
624 OAKLAWN WAY
BOWLING GREEN, KY 42104-3867
Phone number: 270-791-9568
Copy
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