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1356593339
ANITA FUSTON
BOWLING GREEN, KY
NPI
1356593339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 0680)
Enumeration Date
2008-10-21
Last Update Date
2010-04-05
Business Address
-- ANITA FUSTON
823 E 15TH AVE
BOWLING GREEN, KY 42101-2910
Phone number: 270-779-1762
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Mailing Address
-- ANITA FUSTON
823 E 15TH AVE
BOWLING GREEN, KY 42101-2910
Phone number: 270-779-1762
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