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1376684571
DAVID ALLEN SHADD
LEXINGTON, KY
NPI
1376684571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: KY KY-115960)
Enumeration Date
2007-02-09
Last Update Date
2024-09-11
Business Address
Mr. DAVID ALLEN SHADD LPP
360 W LOUDON AVE
LEXINGTON, KY 40508-3729
Phone number: 859-252-7881
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Mailing Address
Mr. DAVID ALLEN SHADD LPP
360 W LOUDON AVE
LEXINGTON, KY 40508-3729
Phone number: 859-229-8543
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