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1366713364
KHRYSTIN BALLENGER
BOWLING GREEN, KY
NPI
1366713364
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Former Name
KHRYSTIN CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KY 164357)
Enumeration Date
2012-01-23
Last Update Date
2017-12-12
Business Address
MRS. KHRYSTIN BALLENGER LMFT
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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Mailing Address
MRS. KHRYSTIN BALLENGER LMFT
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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