HARLEY JEROME CARLTON HACKNEY

LOUISA, KY
NPI1366069734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
Mr. HARLEY JEROME CARLTON HACKNEY PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
Mailing Address
Mr. HARLEY JEROME CARLTON HACKNEY PSS
PO BOX 726
LOUISA, KY 41230-0726
Phone number: 606-639-0938
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