REGINA BACK

LOUISA, KY
NPI1376299479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: KY  267880)
Enumeration Date2022-02-28
Last Update Date2022-02-28
Business Address
REGINA BACK
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
REGINA BACK
125 S MAIN CROSS ST STE 202
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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